Provider Demographics
NPI:1184161564
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
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:BENJAMIN
Authorized Official - Last Name:KARCZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-446-0406
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?:Yes
Parent Organization LBN:GALLAGHER PARTNERS I
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA488428Medicare PIN