Provider Demographics
NPI:1750416277
Name:UPMC LIVING-AT-HOME PROGRAM
Entity type:Organization
Organization Name:UPMC LIVING-AT-HOME PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:JO-ANN
Authorized Official - Last Name:SOVAK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:412-473-6677
Mailing Address - Street 1:1370 BEULAH RD
Mailing Address - Street 2:BUILDING 701 FOURTH FLOOR
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5068
Mailing Address - Country:US
Mailing Address - Phone:412-473-6677
Mailing Address - Fax:412-473-6655
Practice Address - Street 1:1370 BEULAH RD
Practice Address - Street 2:BUILDING 701 FOURTH FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5068
Practice Address - Country:US
Practice Address - Phone:412-473-6677
Practice Address - Fax:412-473-6655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management