Provider Demographics
NPI:1861499840
Name:GALLAGHER HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:GALLAGHER HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:KARCZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:412-279-7800
Mailing Address - Street 1:1370 WASHINGTON PIKE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-2862
Mailing Address - Country:US
Mailing Address - Phone:412-279-7800
Mailing Address - Fax:412-279-1774
Practice Address - Street 1:1370 WASHINGTON PIKE
Practice Address - Street 2:SUITE 401
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2862
Practice Address - Country:US
Practice Address - Phone:412-279-7800
Practice Address - Fax:412-279-1774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA02500501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016105440001Medicaid
PA0280OtherHIGHMARK BC/BS
PA398024Medicare Oscar/Certification