Provider Demographics
NPI:1235102419
Name:MONROEVILLE HOSPICE CENTER
Entity Type:Organization
Organization Name:MONROEVILLE HOSPICE CENTER
Other - Org Name:CEDARS COMMUNITY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SEPICH
Authorized Official - Suffix:
Authorized Official - Credentials:BS, MPM, NHA
Authorized Official - Phone:412-248-4000
Mailing Address - Street 1:4363 NORTHERN PIKE
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2807
Mailing Address - Country:US
Mailing Address - Phone:412-373-3900
Mailing Address - Fax:412-349-0658
Practice Address - Street 1:4363 NORTHERN PIKE
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2807
Practice Address - Country:US
Practice Address - Phone:412-373-3900
Practice Address - Fax:412-349-0658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251G00000X
PA16721601315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101682211-0001Medicaid
39-1672Medicare PIN
PA391672Medicare ID - Type UnspecifiedMEDICARE PROVIDER