Healthcare Provider Details

I. General information

NPI: 1184207540
Provider Name (Legal Business Name): SPRING HILL SNF OPERATOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2021
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2170 RHINE ST
PITTSBURGH PA
15212-3569
US

IV. Provider business mailing address

2170 RHINE ST
PITTSBURGH PA
15212-3569
US

V. Phone/Fax

Practice location:
  • Phone: 412-323-0420
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: ELIE POLLAK
Title or Position: MANAGER
Credential:
Phone: 718-440-7784