Provider Demographics
NPI:1992065056
Name:PASSAVANT MEMORIAL HOMES
Entity type:Organization
Organization Name:PASSAVANT MEMORIAL HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SOCIAL SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:LYNN-MARIE
Authorized Official - Last Name:SENFT
Authorized Official - Suffix:
Authorized Official - Credentials:LSW
Authorized Official - Phone:412-585-1667
Mailing Address - Street 1:163 THORN HILL RD
Mailing Address - Street 2:
Mailing Address - City:WARRENDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15086-7527
Mailing Address - Country:US
Mailing Address - Phone:412-585-1667
Mailing Address - Fax:
Practice Address - Street 1:163 THORN HILL RD
Practice Address - Street 2:
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-7527
Practice Address - Country:US
Practice Address - Phone:412-585-1667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-23
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health