Provider Demographics
NPI:1679691737
Name:DOCS 4 HOME
Entity type:Organization
Organization Name:DOCS 4 HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:PELUSO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:724-600-0140
Mailing Address - Street 1:1225 S MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5370
Mailing Address - Country:US
Mailing Address - Phone:724-600-0140
Mailing Address - Fax:724-600-0145
Practice Address - Street 1:1225 S MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5370
Practice Address - Country:US
Practice Address - Phone:724-600-0140
Practice Address - Fax:724-600-0145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA031759SMKMedicare ID - Type Unspecified
PAD71092Medicare UPIN