Alpha Community Living Arrangement LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

ALPHA COMMUNITY LIVING ARRANGEMENT LLC

Practice address

365 Golden Gate Dr
Verona, PA 15147-2609

Phone

(412) 969-3363

NPI assigned

Mar 14, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lisa Maria Bynoe, LPN

Title

Coo

Phone

(412) 969-3363

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1477056554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 GOLDEN GATE DR",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151472609",
            "telephone_number": "412-969-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 GOLDEN GATE DR",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151472609",
            "telephone_number": "412-969-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA COMMUNITY LIVING ARRANGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "BYNOE",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "412-969-3363",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Verona, PA
• Providers in Verona, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.