Provider Demographics
NPI:1114375433
Name:EXURBIA HOME HEALTHCARE
Entity type:Organization
Organization Name:EXURBIA HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:412-378-5482
Mailing Address - Street 1:111 COVENTRY CT
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3956
Mailing Address - Country:US
Mailing Address - Phone:412-378-5482
Mailing Address - Fax:
Practice Address - Street 1:1001 LIBERTY AVE STE 1050
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3771
Practice Address - Country:US
Practice Address - Phone:412-378-5482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-26
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA28713601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care