Provider Demographics
NPI:1396824686
Name:NORTHERN HOME CARE
Entity type:Organization
Organization Name:NORTHERN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF IN HOME PROGRAMS
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:METZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-781-1176
Mailing Address - Street 1:209 13TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-2418
Mailing Address - Country:US
Mailing Address - Phone:412-781-1176
Mailing Address - Fax:412-782-2955
Practice Address - Street 1:209 13TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-2418
Practice Address - Country:US
Practice Address - Phone:412-781-1176
Practice Address - Fax:412-782-2955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA765605251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016298660001Medicaid
PA397656Medicare ID - Type UnspecifiedPROVIDER NUMBER