MEDICARE: ALLEGHENY SOUTH SENIOR CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1982416350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGHENY SOUTH SENIOR CARE, LLC

Provider Business Mailing Address
First Line	:	100 FLEET ST STE 102
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-2926
Country	:	US
Telephone Number	:	412-595-7554
Fax Number	:

Provider Business Practice Location Address
First Line	:	491 E BRUCETON RD STE 202
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-5525
Country	:	US
Telephone Number	:	412-205-3345
Fax Number	:	412-714-8196

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	TERYL L MCCAFFREY
Credential	:	RN
Telephone Number	:	412-205-3345

Provider Enumeration Date	:	01/23/2025
Last Update Date	:	02/26/2025

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