MEDICARE: ADVANCED II

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	77590501	PA

General Provider Information

NPI Number	:	1982608832
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED II

Provider Business Mailing Address
First Line	:	3912 LIBRARY RD
Second Line	:	STE 202
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-1844
Country	:	US
Telephone Number	:	412-344-4100
Fax Number	:	412-344-4104

Provider Business Practice Location Address
First Line	:	290 BILMAR DR STE 301
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15205-4601
Country	:	US
Telephone Number	:	412-344-4100
Fax Number	:	412-344-4104

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	RICHARD GRIFFIN
Credential	:
Telephone Number	:	412-344-4100

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	09/16/2019

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Directions to “ADVANCED II ” Practice Location

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