Healthcare Provider Details

I. General information

NPI: 1346775764
Provider Name (Legal Business Name): T L P ASSISTED LIVING HEALTHCARE AND TRAINING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2017
Last Update Date: 05/01/2020
Certification Date: 05/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3115 IOWA ST
PITTSBURGH PA
15219-5780
US

IV. Provider business mailing address

3115 IOWA ST STE A
PITTSBURGH PA
15219-5780
US

V. Phone/Fax

Practice location:
  • Phone: 412-683-7451
  • Fax:
Mailing address:
  • Phone: 412-301-7078
  • Fax: 412-683-7451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberPN269277
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. THERESA POINDEXTER
Title or Position: CEO,ADMINISTRATOR
Credential: LPN,PCHA
Phone: 412-301-7078