Healthcare Provider Details

I. General information

NPI: 1902629405
Provider Name (Legal Business Name): TREASURES LOVING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 11/04/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5831 FORWARD AVE UNIT #209
PITTSBURGH PA
15217
US

IV. Provider business mailing address

2100 PATRICIA LN APT 21E
NORTH VERSAILLES PA
15137-1157
US

V. Phone/Fax

Practice location:
  • Phone: 412-546-2305
  • Fax:
Mailing address:
  • Phone: 412-553-9642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TYRA JACKSON
Title or Position: CNA
Credential:
Phone: 412-553-9642