Active NPI
Baptist Homes Society
- Skilled Nursing Facility
- Pittsburgh, PA
National Provider Identifier
1477565216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 047490
- Legal business name
- BAPTIST HOMES SOCIETY
- Practice address
- 489 Castle Shannon Blvd
Pittsburgh, PA 15234-1419 - Phone
- (412) 572-8240
- Fax
- (412) 572-8294
- NPI assigned
- Aug 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Mickail
- Title
- Controller
- Phone
- (412) 572-8240
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 047490 | PA | Primary |
Addresses
Primary practice location
489 Castle Shannon Blvd
Pittsburgh, PA 15234-1419
Mailing address
489 Castle Shannon Blvd
Pittsburgh, PA 15234-1419
Phone (412) 572-8240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0974694 | Medicaid | PA |
Other names 1
- Baptist Homes of Western Pennsylvania
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262131200000",
"number": "1477565216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 CASTLE SHANNON BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152341419",
"telephone_number": "412-572-8240",
"fax_number": "412-572-8294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 CASTLE SHANNON BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152341419",
"telephone_number": "412-572-8240",
"fax_number": "412-572-8294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAPTIST HOMES SOCIETY",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2009-12-30",
"status": "A",
"authorized_official_last_name": "MICKAIL",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "412-572-8240"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "047490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0974694",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Baptist Homes of Western Pennsylvania",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.