MEDICARE: GLORIA'S HAVEN HOME CARE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1821950296
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLORIA'S HAVEN HOME CARE

Provider Business Mailing Address
First Line	:	2015 CENTRE AVE STE 300
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-6322
Country	:	US
Telephone Number	:	412-991-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 CENTRE AVE STE 300
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-6322
Country	:	US
Telephone Number	:	412-991-2800
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	QUENTIN D FRYE JR.
Credential	:
Telephone Number	:	412-991-2800

Provider Enumeration Date	:	11/24/2025
Last Update Date	:	11/24/2025

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