Provider Demographics
NPI:1053160580
Name:FOLASADE HOME CARE
Entity type:Organization
Organization Name:FOLASADE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYBOURNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-206-9677
Mailing Address - Street 1:700 RIVER AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5915
Mailing Address - Country:US
Mailing Address - Phone:412-206-9677
Mailing Address - Fax:
Practice Address - Street 1:700 RIVER AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5915
Practice Address - Country:US
Practice Address - Phone:412-206-9677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-16
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care