Provider Demographics
NPI:1528557949
Name:BE WELL HOME HEALTH AGENCY LLC
Entity type:Organization
Organization Name:BE WELL HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:412-573-9355
Mailing Address - Street 1:4400 OLD WILLIAM PENN HWY STE 214
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1480
Mailing Address - Country:US
Mailing Address - Phone:412-573-9355
Mailing Address - Fax:412-535-8229
Practice Address - Street 1:4400 OLD WILLIAM PENN HWY STE 214
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1480
Practice Address - Country:US
Practice Address - Phone:412-573-9355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-02
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA07050501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health