CONCORDIA OF MONROEVILLE
Assisted Living Facility
Monroeville, Pennsylvania
Provider NPI: 1801888292
Organization Information:Organization Name: CONCORDIA OF MONROEVILLE
Practice Location:
4363 NORTHERN PIKE MONROEVILLE, PA 15146 US
Tel: 412-373-3900 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
4363 NORTHERN PIKE MONROEVILLE, PA 15146 US
Tel: 412-373-3900 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | PA | |
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 77570501 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 062502 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
HIGHMARK BLUE CROSS | 1249 | PA | 01 |
0017213800001 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin