PA Home Modification

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Legal business name

PA HOME MODIFICATION

Practice address

3904 Perrysville Ave
Pittsburgh, PA 15214-1748

Phone

(412) 607-4400

NPI assigned

Apr 29, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin Portis

Title

Owner

Phone

(412) 607-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1992369631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 PERRYSVILLE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152141748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 PERRYSVILLE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152141748",
            "telephone_number": "412-607-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA HOME MODIFICATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "PORTIS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-607-4400"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME ADAPTION",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• P.Iampietronutrition, LLC
• P.K. Mullick, MD & Associates PC
• P.M.C. Homecare
• P&a Homecare Agency LLC
• PA Connecting Communities
• Jiovanni Pabilonia, D.C.
• Pace School
• Pace School
• Elizabeth Kay Pace, M.D.
• Corey Pacek

• Home Modifications Contractor in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Home Modifications Contractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.