Provider Demographics
NPI:1568415800
Name:SORSDAL & CO SERVICES LLC
Entity Type:Organization
Organization Name:SORSDAL & CO SERVICES LLC
Other - Org Name:LIFESPRING HOME CARE OF PITTSBURGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:SORSDAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-515-8840
Mailing Address - Street 1:300 CEDAR BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1155
Mailing Address - Country:US
Mailing Address - Phone:412-515-8840
Mailing Address - Fax:412-341-0781
Practice Address - Street 1:300 CEDAR BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1155
Practice Address - Country:US
Practice Address - Phone:412-515-8840
Practice Address - Fax:412-341-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPENDING251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1030259280001Medicaid
PA1030259280001Medicaid