Provider Demographics
NPI:1922662733
Name:OWENS HOME HEALTH
Entity Type:Organization
Organization Name:OWENS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SEBRENNA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:724-558-7915
Mailing Address - Street 1:1705 DAVIDSON STREET
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001
Mailing Address - Country:US
Mailing Address - Phone:724-630-9471
Mailing Address - Fax:
Practice Address - Street 1:1705 DAVIDSON STREET
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001
Practice Address - Country:US
Practice Address - Phone:724-630-9471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OWENS HOME HEALTH LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-04-26
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty