Provider Demographics
NPI:1982891107
Name:RESIDENTIAL CARE SERVICES, INC.
Entity Type:Organization
Organization Name:RESIDENTIAL CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MONTEVERDE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:412-271-2990
Mailing Address - Street 1:2400 ARDMORE BLVD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-5299
Mailing Address - Country:US
Mailing Address - Phone:412-271-2990
Mailing Address - Fax:412-271-2947
Practice Address - Street 1:340 PEARL ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1953
Practice Address - Country:US
Practice Address - Phone:412-683-7180
Practice Address - Fax:412-683-7181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA80-01875449320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA80-01875449Medicaid