Healthcare Provider Details

I. General information

NPI: 1962340901
Provider Name (Legal Business Name): EVEREST SKILLED SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 GROVE RD STE M103
PITTSBURGH PA
15236-1696
US

IV. Provider business mailing address

2049 MILLENNIUM CT
BETHEL PARK PA
15102-1091
US

V. Phone/Fax

Practice location:
  • Phone: 412-980-8645
  • Fax:
Mailing address:
  • Phone: 412-980-8645
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: UMA D GAUTAM
Title or Position: OWNER
Credential:
Phone: 412-980-8645