Provider Demographics
NPI:1841961398
Name:HEREATHOME HOMECARE LLC
Entity type:Organization
Organization Name:HEREATHOME HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-808-7389
Mailing Address - Street 1:421 RUSSELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MCKEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-3015
Mailing Address - Country:US
Mailing Address - Phone:412-771-2170
Mailing Address - Fax:412-771-2170
Practice Address - Street 1:421 RUSSELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:MCKEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-3015
Practice Address - Country:US
Practice Address - Phone:412-771-2170
Practice Address - Fax:412-771-2170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care