Green Ridge Health Care Center, Llc

LBN: Green Ridge Health Care Center, Llc
Green Ridge Health Care Center, Llc is an health care organization with primary practice located at 2741 Boulevard Ave , Scranton PA 18509-1000. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Green Ridge Health Care Center, Llc can be contacted via phone (570) 344-6121, or through Craven, Ellen via phone (570) 344-6121.

Contact Information

Primary practice address
2741 Boulevard Ave Scranton PA 18509-1000
Phone: (570) 344-6121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Craven, Ellen NHA
Phone: (570) 344-6121

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 332302 Pennsylvania

Profile Details

NPI number 1386701118
LBN Legal business name Green Ridge Health Care Center, Llc
DBA Doing business as
Authorized official Craven, Ellen NHA
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386701118 NPPES
Pennsylvania MEDICAID 1008394040001

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