Provider Demographics
NPI:1902440043
Name:ANNUSKA HOME CARE LLC
Entity Type:Organization
Organization Name:ANNUSKA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUN
Authorized Official - Middle Name:
Authorized Official - Last Name:POUDYEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-608-3183
Mailing Address - Street 1:2117 BROWNSVILLE RD APT A26
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-4200
Mailing Address - Country:US
Mailing Address - Phone:412-608-3183
Mailing Address - Fax:
Practice Address - Street 1:2117 BROWNSVILLE RD APT A26
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210-4200
Practice Address - Country:US
Practice Address - Phone:412-608-3183
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty