Provider Demographics
NPI:1932383221
Name:THE CHILDREN'S HOME OF PITTSBURGH
Entity Type:Organization
Organization Name:THE CHILDREN'S HOME OF PITTSBURGH
Other - Org Name:CHILD'S WAY
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHANWALD
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MHSA
Authorized Official - Phone:412-441-4884
Mailing Address - Street 1:5324 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1733
Mailing Address - Country:US
Mailing Address - Phone:412-441-4884
Mailing Address - Fax:412-441-0167
Practice Address - Street 1:5324 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1733
Practice Address - Country:US
Practice Address - Phone:412-441-4884
Practice Address - Fax:412-441-0167
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CHILDREN'S HOME OF PITTSBURGH
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-21
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA118940000251J00000X
261QM3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA201334OtherUPMC FOR YOU
PA1341OtherHIGHMARK
PA1504695OtherGATEWAY HEALTH PLAN
PA65897OtherUNISON HEALTH PLAN