Provider Demographics
NPI:1285744540
Name:EFCC ACQUISITION CORP
Entity type:Organization
Organization Name:EFCC ACQUISITION CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STERNBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-423-6689
Mailing Address - Street 1:115 BROADHOLLOW RD
Mailing Address - Street 2:275
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-4992
Mailing Address - Country:US
Mailing Address - Phone:631-223-0908
Mailing Address - Fax:631-427-5466
Practice Address - Street 1:3424 WILLIAM PENN HWY
Practice Address - Street 2:SUITE 220
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5444
Practice Address - Country:US
Practice Address - Phone:412-241-7292
Practice Address - Fax:412-241-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA77430500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007772400005Medicaid
PA1007772400005Medicaid