Provider Demographics
NPI:1770231813
Name:SOUTH ALLEGHENY SENIOR CARE, LLC
Entity Type:Organization
Organization Name:SOUTH ALLEGHENY SENIOR CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCAFFREY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:412-477-2565
Mailing Address - Street 1:100 FLEET ST STE 102
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-2926
Mailing Address - Country:US
Mailing Address - Phone:412-595-7554
Mailing Address - Fax:412-595-7881
Practice Address - Street 1:100 FLEET ST STE 102
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-2926
Practice Address - Country:US
Practice Address - Phone:412-595-7554
Practice Address - Fax:412-595-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care