Healthcare Provider Details

I. General information

NPI: 1811280159
Provider Name (Legal Business Name): BOYD COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 06/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7614 KELLY ST 5
PITTSBURGH PA
15208-2019
US

IV. Provider business mailing address

7614 KELLY ST 5
PITTSBURGH PA
15208-2019
US

V. Phone/Fax

Practice location:
  • Phone: 412-731-0279
  • Fax:
Mailing address:
  • Phone: 412-731-0279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number21343601
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. SONYA BOYD
Title or Position: ADMINISTRATOR
Credential:
Phone: 412-731-0279