MEDICARE: GREYSCIOUS GIFT NURSING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1174480206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREYSCIOUS GIFT NURSING, PLLC

Provider Business Mailing Address
First Line	:	606 LIBERTY AVE STE 300
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15222-2733
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	134 SYLVANIA AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15235-4460
Country	:	US
Telephone Number	:	412-397-0837
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHANIQUA GREY
Credential	:	RN
Telephone Number	:	412-397-0837

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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