Healthcare Provider Details

I. General information

NPI: 1033516760
Provider Name (Legal Business Name): ELDEROPTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 11/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 ARDMORE BLVD
PITTSBURGH PA
15221-4652
US

IV. Provider business mailing address

2030 ARDMORE BLVD
PITTSBURGH PA
15221-4652
US

V. Phone/Fax

Practice location:
  • Phone: 412-271-3600
  • Fax: 412-271-6919
Mailing address:
  • Phone: 412-271-3600
  • Fax: 412-271-6919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number063700
License Number StatePA

VIII. Authorized Official

Name: MRS. BEVERLY ANNE DISABATO
Title or Position: EXECUTIVE DIRECTOR
Credential: MA
Phone: 412-271-3600