1497701064 NPI number — HEALTH & LIVING CENTERS INC.

Table of content: (NPI 1497701064)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497701064 NPI number — HEALTH & LIVING CENTERS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH & LIVING CENTERS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497701064
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5511 BAUM BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-661-1740
Provider Business Mailing Address Fax Number:
412-661-7029

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5511 BAUM BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15232
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-661-1740
Provider Business Practice Location Address Fax Number:
412-661-7029
Provider Enumeration Date:
05/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KALKHOF
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
E
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
412-661-1740

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  033302 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 70794 . This is a "UNISON HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0674 . This is a "SECURITY BLUE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 211173 . This is a "UPMC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1506758 . This is a "GATEWAY HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0010985750001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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