Healthcare Provider Details

I. General information

NPI: 1477380178
Provider Name (Legal Business Name): PRIME TIME ADULT CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2024
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 HIGHLAND RD
BETHEL PARK PA
15102-1806
US

IV. Provider business mailing address

44 HIGHLAND RD
BETHEL PARK PA
15102-1806
US

V. Phone/Fax

Practice location:
  • Phone: 412-835-6661
  • Fax: 412-835-5509
Mailing address:
  • Phone: 412-835-6661
  • Fax: 412-835-5509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: HEATHER DEERFIELD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 412-835-6661