Healthcare Provider Details

I. General information

NPI: 1386018166
Provider Name (Legal Business Name): LIFECARE BEHAVIORAL HEALTH HOSPITAL OF PITTSBURGH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2015
Last Update Date: 12/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 PENN AVE
PITTSBURGH PA
15221-2173
US

IV. Provider business mailing address

5340 LEGACY DR SUIE150
PLANO TX
75024-3178
US

V. Phone/Fax

Practice location:
  • Phone: 412-247-2424
  • Fax: 412-247-2333
Mailing address:
  • Phone: 469-241-2128
  • Fax: 469-241-2177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. JOHN MICHAEL CRONIN
Title or Position: VICE PRESIDENT - REIMBURSEMENT
Credential:
Phone: 469-241-2128