# LIFESPACE COMMUNITIES INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFESPACE COMMUNITIES INC
- **Other names:** Friendship Village of South Hills
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881647899
- **Legal business name:** LIFESPACE COMMUNITIES INC
- **Authorized official:** MR. SCOTT MICHAEL HARRISON (PRESIDENT)
- **Authorized official phone:** (515) 288-5805

## Contact information

- **Practice address:** 1290 BOYCE RD, UPPER ST CLAIR, PA 15241-3921
- **Practice address phone:** (724) 941-3100
- **Practice address fax:** (724) 941-6331
- **Mailing address:** 1290 BOYCE RD, UPPER ST CLAIR, PA 15241-3921
- **Mailing address phone:** (724) 941-3100
- **Mailing address fax:** (724) 941-6331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 320102 | PA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0438250004 | PA | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 05/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011456010001 | — | PA |
| 01 | — | 0664 | SECURITY BLUE | PA |
| 01 | — | 2037510 | US HEALTHCARE | PA |