Provider Demographics
NPI:1699004994
Name:SOUTH WESTERN ALPHA HOUSING AND HEALTHCARE INC
Entity Type:Organization
Organization Name:SOUTH WESTERN ALPHA HOUSING AND HEALTHCARE INC
Other - Org Name:AVALON SPRINGS PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:NIGRO
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:412-864-3532
Mailing Address - Street 1:200 LOTHROP ST STE 10097
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-864-3532
Mailing Address - Fax:412-864-3554
Practice Address - Street 1:745 GREENVILLE ROAD
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-5023
Practice Address - Country:US
Practice Address - Phone:724-662-5400
Practice Address - Fax:724-662-2043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-15
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1024048900001Medicaid
PA1024048900001Medicaid