Provider Demographics
NPI:1669927034
Name:RESTORING PURPOSE HOMECARE LLC.
Entity type:Organization
Organization Name:RESTORING PURPOSE HOMECARE LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:THIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:412-828-4435
Mailing Address - Street 1:722 ALLEGHENY RIVER BLVD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-1302
Mailing Address - Country:US
Mailing Address - Phone:412-828-4435
Mailing Address - Fax:412-828-7292
Practice Address - Street 1:722 ALLEGHENY RIVER BLVD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-1302
Practice Address - Country:US
Practice Address - Phone:412-828-4435
Practice Address - Fax:412-828-7292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-16
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA24903601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA24903601OtherPENNSYLVANIA DEPARTMENT OF HEALTH