Healthcare Provider Details

I. General information

NPI: 1760001671
Provider Name (Legal Business Name): JEWISH ASSOCIATION ON AGING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2020
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 JHF DR
PITTSBURGH PA
15217-2950
US

IV. Provider business mailing address

200 JHF DR
PITTSBURGH PA
15217-2950
US

V. Phone/Fax

Practice location:
  • Phone: 412-521-1487
  • Fax:
Mailing address:
  • Phone: 412-521-2775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DIANNA REBECCA MATTHEWS
Title or Position: PATIENT ACCOUNTS
Credential:
Phone: 412-521-2775