Provider Demographics
NPI:1851562870
Name:HANEYS PERSONAL CARE HOME
Entity Type:Organization
Organization Name:HANEYS PERSONAL CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:HANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-592-5449
Mailing Address - Street 1:330 CARMICHAELS ST
Mailing Address - Street 2:
Mailing Address - City:RICES LANDING
Mailing Address - State:PA
Mailing Address - Zip Code:15357-2155
Mailing Address - Country:US
Mailing Address - Phone:724-592-5449
Mailing Address - Fax:
Practice Address - Street 1:330 CARMICHAELS ST
Practice Address - Street 2:
Practice Address - City:RICES LANDING
Practice Address - State:PA
Practice Address - Zip Code:15357-2155
Practice Address - Country:US
Practice Address - Phone:724-592-5449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility