Provider Demographics
NPI:1831192228
Name:ALLEGHENY LUTHERAN SOCIAL MINISTRIES INC.
Entity type:Organization
Organization Name:ALLEGHENY LUTHERAN SOCIAL MINISTRIES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAGE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, NHA
Authorized Official - Phone:814-696-4518
Mailing Address - Street 1:915 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-2247
Mailing Address - Country:US
Mailing Address - Phone:814-255-6844
Mailing Address - Fax:814-255-6847
Practice Address - Street 1:807 GOUCHER ST
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-2900
Practice Address - Country:US
Practice Address - Phone:814-255-6844
Practice Address - Fax:814-255-6847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA270102314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1001998070012Medicaid
PA0639OtherBLUE CROSS
PA0639OtherBLUE CROSS
PA0639OtherBLUE CROSS