Healthcare Provider Details

I. General information

NPI: 1750849246
Provider Name (Legal Business Name): RYAN'S HOUSE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 5TH AVE STE 8
CORAOPOLIS PA
15108-1885
US

IV. Provider business mailing address

1004 5TH AVE STE 8
CORAOPOLIS PA
15108-1885
US

V. Phone/Fax

Practice location:
  • Phone: 412-277-0088
  • Fax: 412-264-4610
Mailing address:
  • Phone: 412-277-0088
  • Fax: 412-264-4610

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHANNAN RAE WILLIAMS
Title or Position: OWNER
Credential:
Phone: 412-277-0088