Provider Demographics
NPI:1023098985
Name:COMMUNITY NURSING SERVICE OF GREATER JEANNETTE, INC.
Entity type:Organization
Organization Name:COMMUNITY NURSING SERVICE OF GREATER JEANNETTE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:724-837-7730
Mailing Address - Street 1:4000 HEMPFIELD PLAZA BLVD.
Mailing Address - Street 2:SUITE 926
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2082
Mailing Address - Country:US
Mailing Address - Phone:724-837-7730
Mailing Address - Fax:734-837-7385
Practice Address - Street 1:4000 HEMPFIELD PLAZA BLVD
Practice Address - Street 2:SUITE 926
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2082
Practice Address - Country:US
Practice Address - Phone:724-837-7730
Practice Address - Fax:734-837-7385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA707105251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA397071Medicare ID - Type Unspecified