# BAPTIST HOMES SOCIETY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Homes of Western Pennsylvania
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477565216
- **Authorized official:** DIANE MICKAIL (CONTROLLER)
- **Authorized official phone:** (412) 572-8240

## Contact information

- **Practice address:** 489 CASTLE SHANNON BLVD, PITTSBURGH, PA 15234-1419
- **Practice address phone:** (412) 572-8240
- **Practice address fax:** (412) 572-8294
- **Mailing address:** 489 CASTLE SHANNON BLVD, PITTSBURGH, PA 15234-1419
- **Mailing address phone:** (412) 572-8240
- **Mailing address fax:** (412) 572-8294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 047490 | PA | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 12/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0974694 | — | PA |