Provider Demographics
NPI:1508078247
Name:TRY-AGAIN HOMES, INC.
Entity Type:Organization
Organization Name:TRY-AGAIN HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HILLIARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-225-0510
Mailing Address - Street 1:PO BOX 1228
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-7228
Mailing Address - Country:US
Mailing Address - Phone:724-225-0510
Mailing Address - Fax:
Practice Address - Street 1:365 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4245
Practice Address - Country:US
Practice Address - Phone:724-225-0510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV07CPP007104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV07CPP007Medicaid
PA400950OtherRESIDENTIAL SERVICES
PA424220OtherFOSTER FAMILY CARE
PA425130OtherFOSTER FAMILY CARE
PA412630OtherPRIVATE CHILDREN & YOUTH
PA424210OtherPRIVATE CHILDREN & YOUTH
PA409160OtherADOPTION SERVICES
PA424230OtherADOPTION SERVICES