Provider Demographics
NPI:1003585167
Name:ANNAPURNA HOME CARE AGENCY LLC
Entity type:Organization
Organization Name:ANNAPURNA HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:THAPA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-853-1588
Mailing Address - Street 1:170 LYNN DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4418
Mailing Address - Country:US
Mailing Address - Phone:412-853-1588
Mailing Address - Fax:
Practice Address - Street 1:170 LYNN DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-4418
Practice Address - Country:US
Practice Address - Phone:412-853-1588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health