BETHANY HOSPICE SERVICES OF WESTERN PENNSYLVANIA LLC NPI 1770583908

NPI Information

NPI: 1770583908
Provider Name: BETHANY HOSPICE SERVICES OF WESTERN PENNSYLVANIA, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 39D1032340

Address:
875 GREENTREE RD STE 100
SIX PARKWAY CENTER
PITTSBURGH, PA
ZIP 15220
Phone: (412) 921-2209
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BETHANY HOSPICE SERVICES OF WESTERN PENNSYLVANIA, LLC is a hospice care community based in Pittsburgh, PA. BETHANY HOSPICE SERVICES OF WESTERN PENNSYLVANIA, LLC NPI is 1770583908. The provider is registered as an organization entity type.

The provider's business location address is:

875 GREENTREE RD STE 100
SIX PARKWAY CENTER
PITTSBURGH, PA
ZIP 15220-508
Phone: (412) 921-2209
Fax: (412) 921-2552

The provider's authorized official is Diane L Mead .
The authorized official title is President and has the following contact phone number (412) 921-2209.

The CLIA number assigned to this NPI record is 39D1032340 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 12/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		16641601	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1012121800001	MEDICAID	PENNSYLVANIA
2	391664	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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