# PASSAVANT RETIREMENT AND HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Passavant Retirement Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306844295
- **Authorized official:** JEFFREY CARRAWAY (CFO)
- **Authorized official phone:** (724) 742-2246

## Contact information

- **Practice address:** 105 BURGESS DR, ZELIENOPLE, PA 16063-2525
- **Practice address phone:** (724) 776-1100
- **Practice address fax:** (724) 776-1108
- **Mailing address:** 1323 FREEDOM RD, CRANBERRY TOWNSHIP, PA 16066-5001
- **Mailing address phone:** (724) 776-1100
- **Mailing address fax:** (724) 776-1108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 314000000X | Skilled Nursing Facility | 163602 | PA | Yes |

## Other

- **Enumeration date:** 07/13/2005
- **Last updated:** 10/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007566400001 | — | PA |
| 01 | — | 0632 | BLUE CROSS | — |