Third Avenue Health & Rehab Center

LBN: Kingston Snf Healthcare, Llc
Third Avenue Health & Rehab 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 Snf Healthcare, Llc can be contacted via phone (570) 283-5848, or through Weisberg, William I. via phone (216) 292-5706.

Contact Information

Primary practice address
702 3Rd Ave Kingston PA 18704-5845
Phone: (570) 283-5848
Fax: (570) 283-6908
Website:
Map and Directions
Authorized official contact:
Name: Weisberg, William I.
Phone: (216) 292-5706

Health care specialties

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

Profile Details

NPI number 1194145706
LBN Legal business name Kingston Snf Healthcare, Llc
DBA Doing business as Third Avenue Health & Rehab Center
Authorized official Weisberg, William I.
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 22nd, 2014
Last updated May 9th, 2023 - about last year

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 1194145706 NPPES
Pennsylvania MEDICAID 102914366-0001

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