Provider Demographics
NPI:1811280159
Name:BOYD COMMUNITY SERVICES
Entity type:Organization
Organization Name:BOYD COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-731-0279
Mailing Address - Street 1:7614 KELLY ST
Mailing Address - Street 2:5
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2019
Mailing Address - Country:US
Mailing Address - Phone:412-731-0279
Mailing Address - Fax:
Practice Address - Street 1:7614 KELLY ST
Practice Address - Street 2:5
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2019
Practice Address - Country:US
Practice Address - Phone:412-731-0279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-19
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
385H00000X
PA21343601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care