Provider Demographics
NPI:1003932369
Name:THE CHILDREN'S HOME OF PITTSBURGH
Entity Type:Organization
Organization Name:THE CHILDREN'S HOME OF PITTSBURGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHANWALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MHSA
Authorized Official - Phone:412-441-4884
Mailing Address - Street 1:5324 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1733
Mailing Address - Country:US
Mailing Address - Phone:412-441-4884
Mailing Address - Fax:412-441-0167
Practice Address - Street 1:5324 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1733
Practice Address - Country:US
Practice Address - Phone:412-441-4884
Practice Address - Fax:412-441-0167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA298401283X00000X, 283XC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283XC2000XHospitalsRehabilitation HospitalChildren
No283X00000XHospitalsRehabilitation Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1341OtherHIGHMARK BLUE CROSS
PA2285OtherHEALTH AMERICA
PA65897OtherUNISON HEALTH PLAN
OH900181Medicaid
PA0010207410002Medicaid
PA1003034OtherGATEWAY HEALTH PLAN
PA13410OtherAETNA HEALTH PLAN
PA201334OtherUPMC HEALTH PLAN
PA239375OtherUNITED HEALTHCARE
WV0173689000Medicaid
PA113OtherHIGHMARK BLUE CROSS
PA1504695OtherGATEWAY HEALTH PLAN
PA1504695OtherGATEWAY HEALTH PLAN