Provider Demographics
NPI:1770120743
Name:CANDID HOME CARE INC
Entity type:Organization
Organization Name:CANDID HOME CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BHUPENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-982-0292
Mailing Address - Street 1:470 STREETS RUN RD STE 403
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2073
Mailing Address - Country:US
Mailing Address - Phone:804-982-0292
Mailing Address - Fax:412-668-2761
Practice Address - Street 1:470 STREETS RUN RD STE 403
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2073
Practice Address - Country:US
Practice Address - Phone:804-982-0292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA43943601Medicaid