Provider Demographics
NPI:1790516326
Name:PYRAMID HOUSE FOUNDATION, INC
Entity type:Organization
Organization Name:PYRAMID HOUSE FOUNDATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EVERARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENAWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-758-4983
Mailing Address - Street 1:2215 SPRINGFIELD AVE UNIT 140
Mailing Address - Street 2:
Mailing Address - City:VAUXHALL
Mailing Address - State:NJ
Mailing Address - Zip Code:07088-6810
Mailing Address - Country:US
Mailing Address - Phone:908-758-4983
Mailing Address - Fax:
Practice Address - Street 1:391 TREMONT PL
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-2020
Practice Address - Country:US
Practice Address - Phone:908-758-4983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care