Healthcare Provider Details

I. General information

NPI: 1174356117
Provider Name (Legal Business Name): SAKINAH DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 MONTICELLO ST
PITTSBURGH PA
15208-1533
US

IV. Provider business mailing address

7300 MONTICELLO ST
PITTSBURGH PA
15208-1533
US

V. Phone/Fax

Practice location:
  • Phone: 412-532-9443
  • Fax:
Mailing address:
  • Phone: 412-532-9443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberCT-175967
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberCT-175967
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberCT-175967
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License NumberCT-175967
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberCT-175967
License Number State
# 7
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberCT-175967
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: