Provider Demographics
NPI:1518136175
Name:CAMBRIDGE HOPEWELL, LP
Entity Type:Organization
Organization Name:CAMBRIDGE HOPEWELL, LP
Other - Org Name:POINT PLEASANT PEDIATRIC SPECIAL CARE AT PITTSBURGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:COYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-297-5555
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:90 CAFFERTY RD
Mailing Address - City:POINT PLEASANT
Mailing Address - State:PA
Mailing Address - Zip Code:18950-0217
Mailing Address - Country:US
Mailing Address - Phone:215-297-5555
Mailing Address - Fax:
Practice Address - Street 1:2900 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-1146
Practice Address - Country:US
Practice Address - Phone:215-297-5555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA437130251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020767260001Medicaid