Healthcare Provider Details

I. General information

NPI: 1649277625
Provider Name (Legal Business Name): ST. PAUL HOMES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 E JAMESTOWN RD
GREENVILLE PA
16125-9206
US

IV. Provider business mailing address

339 E JAMESTOWN RD
GREENVILLE PA
16125-9206
US

V. Phone/Fax

Practice location:
  • Phone: 724-588-9613
  • Fax:
Mailing address:
  • Phone: 724-588-7610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number971602
License Number StatePA

VIII. Authorized Official

Name: MR. G. BRYAN OROS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 724-588-7610