Healthcare Provider Details

I. General information

NPI: 1578407052
Provider Name (Legal Business Name): PRESBYTERIAN SENIORCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 REDSTONE RD
WASHINGTON PA
15301-3243
US

IV. Provider business mailing address

954 REDSTONE RD
WASHINGTON PA
15301-3243
US

V. Phone/Fax

Practice location:
  • Phone: 724-884-1269
  • Fax:
Mailing address:
  • Phone: 724-884-1269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: ROBERTA GRAY
Title or Position: VP CARE COMMUNITIES
Credential:
Phone: 814-314-1711