Provider Demographics
NPI:1720101314
Name:EASTERN AREA ADULT SERVICES, INC.
Entity Type:Organization
Organization Name:EASTERN AREA ADULT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-829-9250
Mailing Address - Street 1:607 BRADDOCK AVENUE
Mailing Address - Street 2:
Mailing Address - City:TURTLE CREEK
Mailing Address - State:PA
Mailing Address - Zip Code:15145-2069
Mailing Address - Country:US
Mailing Address - Phone:412-829-9250
Mailing Address - Fax:412-829-9251
Practice Address - Street 1:901 WEST ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2833
Practice Address - Country:US
Practice Address - Phone:412-247-1446
Practice Address - Fax:412-247-1973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2014-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016368150001Medicaid