John Xxiii Home

LBN: John Xxiii Home
John Xxiii Home is an health care organization with primary practice located at 2250 Shenango Valley Fwy , Hermitage PA 16148-2549. 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. John Xxiii Home can be contacted via phone (724) 981-3200, or through Hawthorne, Kirk L via phone (724) 981-3200.

Contact Information

Primary practice address
2250 Shenango Valley Fwy Hermitage PA 16148-2549
Phone: (724) 981-3200
Fax: (724) 981-1677
Website:
Map and Directions
Authorized official contact:
Name: Hawthorne, Kirk L NHA
Phone: (724) 981-3200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 360202 Pennsylvania

Profile Details

NPI number 1740282144
LBN Legal business name John Xxiii Home
DBA Doing business as
Authorized official Hawthorne, Kirk L NHA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2005
Last updated Aug 1st, 2012 - about 12 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 1740282144 NPPES
Pennsylvania Other 0994 HIGHMARK SECURITY BLUE
Pennsylvania MEDICAID 0007473280001 HIGHMARK SECURITY BLUE

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