Provider Demographics
NPI:1225033392
Name:LAWSON NURSING HOME, INC.
Entity Type:Organization
Organization Name:LAWSON NURSING HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANHA
Authorized Official - Prefix:MS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MALONI
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:412-466-1125
Mailing Address - Street 1:540 COAL VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-3704
Mailing Address - Country:US
Mailing Address - Phone:412-466-1125
Mailing Address - Fax:412-466-1971
Practice Address - Street 1:540 COAL VALLEY RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3704
Practice Address - Country:US
Practice Address - Phone:412-466-1125
Practice Address - Fax:412-466-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA024002314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015937270002Medicaid
PA0980OtherBLUE CROSS
PA0980OtherBLUE CROSS