MEDICARE: RESIDENTIAL CARE SERVICES, INC.

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	320800000X	Mental Illness Community Based Residential Treatment Facility	80-01875449	PA

Other Identifiers

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

General Provider Information

NPI Number	:	1982891107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESIDENTIAL CARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	2400 ARDMORE BLVD
Second Line	:	SUITE 601
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-5299
Country	:	US
Telephone Number	:	412-271-2990
Fax Number	:	412-271-2947

Provider Business Practice Location Address
First Line	:	340 PEARL ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15224-1953
Country	:	US
Telephone Number	:	412-683-7180
Fax Number	:	412-683-7181

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. BETH MONTEVERDE
Credential	:	MSW
Telephone Number	:	412-271-2990

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	10/02/2007

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Directions to “RESIDENTIAL CARE SERVICES, INC. ” Practice Location

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