Henry Clay Villa

LBN: Jha Markleysburg Inc
Henry Clay Villa is an health care organization with primary practice located at 5253 National Pike , Markleysburg PA 15459-1025. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Jha Markleysburg Inc can be contacted via phone (724) 329-5545, or through Mittleider, Douglas K via phone (770) 619-0866.

Contact Information

Primary practice address
5253 National Pike Markleysburg PA 15459-1025
Phone: (724) 329-5545
Fax: (724) 329-1068
Website:
Map and Directions
Authorized official contact:
Name: Mittleider, Douglas K
Phone: (770) 619-0866

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 060602 Pennsylvania

Profile Details

NPI number 1982697397
LBN Legal business name Jha Markleysburg Inc
DBA Doing business as Henry Clay Villa
Authorized official Mittleider, Douglas K
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2005
Last updated Sep 24th, 2007 - about 17 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 1982697397 NPPES
Pennsylvania MEDICAID 1696395

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