Provider Demographics
NPI:1083705396
Name:ELDERCARE VENTURES INC
Entity Type:Organization
Organization Name:ELDERCARE VENTURES INC
Other - Org Name:FORBES ROAD NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:PARSONS
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:412-665-3165
Mailing Address - Street 1:6655 FRANKSTOWN AVENUE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4148
Mailing Address - Country:US
Mailing Address - Phone:412-665-3044
Mailing Address - Fax:412-665-3852
Practice Address - Street 1:6655 FRANKSTOWN AVENUE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4148
Practice Address - Country:US
Practice Address - Phone:412-665-3044
Practice Address - Fax:412-665-3852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018790090001Medicaid
1716OtherHIGHMARK BC
PA0018790090001Medicaid