South Mountain Restoration Center

LBN: Pennsylvania Department Of Human Services
South Mountain Restoration Center is an health care organization with primary practice located at 10058 S Mountain Rd , South Mountain PA 17261-0900. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Pennsylvania Department Of Human Services can be contacted via phone (717) 749-4000, or through Light, Kathy via phone (717) 772-2518.

Contact Information

Primary practice address
10058 S Mountain Rd South Mountain PA 17261-0900
Phone: (717) 749-4000
Fax: (717) 749-4071
Website:
Map and Directions
Authorized official contact:
Name: Light, Kathy
Phone: (717) 772-2518

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1295718039
LBN Legal business name Pennsylvania Department Of Human Services
DBA Doing business as South Mountain Restoration Center
Authorized official Light, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2005
Last updated Oct 4th, 2021 - about 3 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 1295718039 NPPES
Pennsylvania MEDICAID 100308518

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