Provider Demographics
NPI:1164415360
Name:LGARPA CORP
Entity Type:Organization
Organization Name:LGARPA CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:YESKO
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:412-825-9000
Mailing Address - Street 1:800 ELSIE ST
Mailing Address - Street 2:
Mailing Address - City:TURTLE CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:15145-1470
Mailing Address - Country:US
Mailing Address - Phone:412-825-9000
Mailing Address - Fax:412-825-9204
Practice Address - Street 1:800 ELSIE ST
Practice Address - Street 2:
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145-1470
Practice Address - Country:US
Practice Address - Phone:412-825-9000
Practice Address - Fax:412-825-9204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-24
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA074802314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016259290001Medicaid
PA0016259290001Medicaid