Organization
PASSAVANT RETIREMENT AND HEALTH CENTER
Active
Other names
Passavant Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CARRAWAY (CFO)
(724) 742-2246
Entity
Organization
Contact information
Practice address
105 BURGESS DR, ZELIENOPLE, PA 16063-2525
(724) 776-1100
(724) 776-1108
Mailing address
1323 FREEDOM RD, CRANBERRY TOWNSHIP, PA 16066-5001
(724) 776-1100
(724) 776-1108
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
163602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007566400001
—
PA
01
—
0632
BLUE CROSS
—
Enumeration date
07/13/2005
Last updated
10/08/2025
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