Provider Demographics
NPI:1164127536
Name:PARAMOUNT SENIOR LIVING AT BETHEL PARK LLC
Entity Type:Organization
Organization Name:PARAMOUNT SENIOR LIVING AT BETHEL PARK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SHUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:724-969-1020
Mailing Address - Street 1:3025 WASHINGTON RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3246
Mailing Address - Country:US
Mailing Address - Phone:724-969-1020
Mailing Address - Fax:
Practice Address - Street 1:5785 BAPTIST RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-3075
Practice Address - Country:US
Practice Address - Phone:412-833-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home