Provider Demographics
NPI:1053562611
Name:ANOVA HOSPICE PALLIATIVE CARE SERVICES, LLC
Entity type:Organization
Organization Name:ANOVA HOSPICE PALLIATIVE CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NAINESH
Authorized Official - Middle Name:T
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-681-1044
Mailing Address - Street 1:2 PARKWAY CTR STE 110
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3510
Mailing Address - Country:US
Mailing Address - Phone:412-885-8500
Mailing Address - Fax:412-885-8559
Practice Address - Street 1:2 PARKWAY CTR STE 110
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-3510
Practice Address - Country:US
Practice Address - Phone:412-885-8500
Practice Address - Fax:412-885-8559
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-01
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1031387700001Medicaid