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NPI Code Detail

MEDICARE: VINCENTIAN HOME

MEDICARE: VINCENTIAN HOME
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
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20647OTHERPAHIGHMARK PROVIDER NUMBER

General Provider Information

NPI Number : 1629074935
Entity Type Code : Organization
Provider Name (Legal Business Name) : VINCENTIAN HOME
Provider Business Mailing Address
First Line : 8250 BABCOCK BLVD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-5825
Country : US
Telephone Number : 412-548-4073
Fax Number : 412-348-0186
Provider Business Practice Location Address
First Line : 111 PERRYMONT RD
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-5239
Country : US
Telephone Number : 412-366-5600
Fax Number : 412-366-1408
Authorized Official
Title or Position : ADMINISTRATOR
Name : SISTER ANNE KULL
Credential : NHA
Telephone Number : 412-366-5600
Provider Enumeration Date : 06/22/2005
Last Update Date : 10/31/2011

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1508927807 — CAROLYN AUGUSTINE
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111 PERRYMONT RD
PITTSBURGH, PA
15237-5239
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Practice Fax:
1952568768 — MS. KAREN CAVE ELLIS PT
Practice Location Address:
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PITTSBURGH, PA
15237-5239
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1821255506 — ALLISON MARIE MCGUIGAN COTA/L
Practice Location Address:
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Directions to “VINCENTIAN HOME ” Practice Location

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