Manorcare Health Services - Pottsville

LBN: Manor Care Of Pottsville Pa Llc
Manorcare Health Services - Pottsville is an health care organization with primary practice located at 420 Pulaski Dr , Pottsville PA 17901-3634. 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. Manor Care Of Pottsville Pa Llc can be contacted via phone (570) 622-9582, or through Allen, Martin D via phone (419) 252-5743.

Contact Information

Primary practice address
420 Pulaski Dr Pottsville PA 17901-3634
Phone: (570) 622-9582
Fax: (570) 622-9594
Website:
Map and Directions
Authorized official contact:
Name: Allen, Martin D
Phone: (419) 252-5743

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 383802 Pennsylvania

Profile Details

NPI number 1508813460
LBN Legal business name Manor Care Of Pottsville Pa Llc
DBA Doing business as Manorcare Health Services - Pottsville
Authorized official Allen, Martin D
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2006
Last updated May 9th, 2017 - about 8 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 1508813460 NPPES
Pennsylvania MEDICAID 1020615090001

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