Healthcare Provider Details

I. General information

NPI: 1073769311
Provider Name (Legal Business Name): COMMUNITY HUMAN SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 03/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 LIBERTY AVE
PITTSBURGH PA
15222-4679
US

IV. Provider business mailing address

2525 LIBERTY AVE
PITTSBURGH PA
15222-4679
US

V. Phone/Fax

Practice location:
  • Phone: 412-246-1606
  • Fax:
Mailing address:
  • Phone: 412-246-1606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: PAUL MOSEY
Title or Position: CHIEF TECHNOLOGY OFFICER
Credential:
Phone: 412-246-1606