# CONCORDIA OF MONROEVILLE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONCORDIA LUTHERAN MINISTRIES OF PITTSBURGH
- **Other names:** Concordia at The Cedars
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801888292
- **Legal business name:** CONCORDIA LUTHERAN MINISTRIES OF PITTSBURGH
- **Authorized official:** MR. BRIAN K HORTERT (CEO)
- **Authorized official phone:** (724) 316-9909

## Contact information

- **Practice address:** 4363 NORTHERN PIKE, MONROEVILLE, PA 15146-2807
- **Practice address phone:** (412) 373-3900
- **Practice address fax:** (412) 373-5600
- **Mailing address:** 4363 NORTHERN PIKE, MONROEVILLE, PA 15146-2807
- **Mailing address phone:** (412) 373-3900
- **Mailing address fax:** (412) 373-5600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | PA | — |
| 314000000X | Skilled Nursing Facility | 062502 | PA | Yes |
| 314000000X | Skilled Nursing Facility | 77570501 | PA | — |

## Other

- **Enumeration date:** 08/22/2005
- **Last updated:** 07/08/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0017213800001 | — | PA |
| 01 | — | 1249 | HIGHMARK BLUE CROSS | PA |
