Healthcare Provider Details

I. General information

NPI: 1104941004
Provider Name (Legal Business Name): THE EARLY LEARNING INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 05/11/2023
Certification Date: 05/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1405 SHADY AVENUE
PITTSBURGH PA
15217-1350
US

IV. Provider business mailing address

1405 SHADY AVENUE
PITTSBURGH PA
15217-1350
US

V. Phone/Fax

Practice location:
  • Phone: 412-420-2400
  • Fax: 412-922-8751
Mailing address:
  • Phone: 412-420-2400
  • Fax: 412-922-8751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN JUBAS
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 412-420-2400