UPMC BRADDOCK (NPI# 1629088257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629088257 |
| Entity Type | Organization |
| Organization Name | UPMC BRADDOCK |
| Practice Address |
400 Holland Ave Braddock PA 15104-1599 |
| Mailing Address |
Po Box 382007 Pittsburgh PA 15250-8007 |
| Practice Telephone | 4124325500 |
| Mailing Telephone | 4124325500 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | MRS. SUSAN MAMMARELLA (CFO) |
| Authorized Official Telephone | 4126365314 |
| Authorized Official Credential | CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UPMC HEALTH PLAN NUMBER | 107 | 01 |
| PA | UPMC FOR YOU NUMBER | 107 | 01 |
| PA | BLUE CROSS NUMBER | 1239 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407910342 | Upmc Braddock | Clinic/Center | 200 Lothrop St, Quantum #1 3rd Fl, Pittsburgh, PA 15213-2536 | 2006-12-21 |
| 1710997341 | Upmc Braddock | Psychiatric Unit | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-08 |
| 1831108489 | Upmc Braddock | General Acute Care Hospital | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-08-05 |
| Street Address |
400 HOLLAND AVE |
| City | BRADDOCK |
| State | PA |
| Zip Code | 15104-1599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396719738 | Charles Krifcher | Specialist | 400 Holland Ave, Braddock, PA 15104-1599 | 2006-02-14 |
| 1518117373 | Carmen Joseph Scolieri | Occupational Therapist | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-09-29 |
| 1629231972 | Sonja Eckstrom | Occupational Therapist | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-07-08 |
| 1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
| 1144493503 | Curt David Bell | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-08 |
| 1134392681 | Michelle Lynne Leddon | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-04 |
| 1336312974 | Thomas Mark Kelly | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-03 |
| 1811169519 | Nancy Jean Feth | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1245403922 | Edward Richard Williams | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| 1124291877 | Jeanne Nicole Matucheski | Counselor | 400 Holland Ave, Braddock, PA 15104-1599 | 2008-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941340 | Dominique K Davis | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104 | 2017-09-19 |
| 1497270540 | Rc Jones Transportation, LLC | Private Vehicle | 134 Harriet Street, Rankin, PA 15104 | 2017-08-10 |
| 1841600400 | Anisa Tate | Counselor | 732 Braddock Ave, Braddock, PA 15104 | 2014-05-05 |
| 1972843050 | Jessica Lynn Gurley | Social Worker | 910 Braddock Ave, Braddock, PA 15104 | 2013-02-26 |
| 1588000152 | Anne Jennings | Family Medicine | 501 Braddock Ave, Braddock, PA 15104 | 2013-05-22 |
| 1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
| 1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
| 1528125986 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2007-01-03 |
| 1780964692 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2011-08-23 |
| 1013241264 | Stacy Martin | Counselor | 251 Fleet St, Rankin, PA 15104-1150 | 2009-09-21 |
| Find all providers in zip 15104 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
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| 1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.