Kingston Health Care Center

LBN: Kingston Health Care Center Llc
Kingston Health Care Center is an health care organization with primary practice located at 702 3Rd Ave , Kingston PA 18704-5845. 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. Kingston Health Care Center Llc can be contacted via phone (570) 283-5848, or through Kelly, Michael P via phone (570) 969-2188.

Contact Information

Primary practice address
702 3Rd Ave Kingston PA 18704-5845
Phone: (570) 283-5848
Fax: (570) 383-5152
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Michael P
Phone: (570) 969-2188

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 068502 Pennsylvania

Profile Details

NPI number 1811983687
LBN Legal business name Kingston Health Care Center Llc
DBA Doing business as Kingston Health Care Center
Authorized official Kelly, Michael P
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated May 16th, 2013 - about 11 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 1811983687 NPPES
Pennsylvania MEDICAID 102787826-0001

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