Healthcare Provider Details

I. General information

NPI: 1568604841
Provider Name (Legal Business Name): BAPTIST HOMES SOCIETY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 12/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 ADAMS AVENUE
PITTSBURGH PA
15243-1028
US

IV. Provider business mailing address

489 CASTLE SHANNON BLVD
PITTSBURGH PA
15234-1419
US

V. Phone/Fax

Practice location:
  • Phone: 412-276-4500
  • Fax: 412-276-1650
Mailing address:
  • Phone: 412-563-6550
  • Fax: 412-572-8294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberPENDING
License Number StatePA

VIII. Authorized Official

Name: MR. TODD F SWORTZEL
Title or Position: CEO
Credential:
Phone: 412-563-6550