Provider Demographics
NPI:1215549464
Name:BLAIR PERSONAL CARE HOMES, INC.
Entity Type:Organization
Organization Name:BLAIR PERSONAL CARE HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:724-843-2209
Mailing Address - Street 1:1031 MERCER RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-6824
Mailing Address - Country:US
Mailing Address - Phone:724-843-2209
Mailing Address - Fax:724-843-2209
Practice Address - Street 1:1031 MERCER RD
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-6824
Practice Address - Country:US
Practice Address - Phone:724-843-2209
Practice Address - Fax:724-843-4669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA447830OtherDEPARTMENT OF HUMAN SERVICES
PA447820OtherDEPARTMENT OF HUMAN SERVICES