Sugar Creek Rest, Ltd Ptr, NPI 1386637809
Nursing Facility/Intermediate Care Facility in Worthington, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1386637809
NPI Entity Type Organization
Provider Name Sugar Creek Rest, Ltd Ptr
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 120 Lakeside Dr, Worthington, PA, US
Provider Mailing Address 120 Lakeside Dr, Worthington, PA, US, 162625102
Is Sole Proprietor? No
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Organization Official

Official Name NHA Steven D Tack
Official Position CEO
Phone 724-431-0770

Primary Taxonomy

Taxonomy Code

313M00000X

Taxonomy Name Nursing Facility/Intermediate Care Facility
Classification

Nursing Facility/Intermediate Care Facility

Group

Nursing & Custodial Care Facilities

License No. 195002
License State PA
Description An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Business Address

Sugar Creek Rest, Ltd Ptr
120 Lakeside Dr

Worthington, PA, US

Phone: 724-445-3146
Fax: 724-445-3186

Mailing Address

Sugar Creek Rest, Ltd Ptr
120 Lakeside Dr
Worthington, PA, US
ZIP 162625102
Phone: 724-445-3146
Fax: 724-445-3186

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
000966807001 PA MEDICAID 05
1039012 PA GATEWAY HP 01
111736 PA UNISON 01
0613 HIGHMARK BC 01
263510 PA HEALTH AMERICA 01
209144 UPMC 01
0240400001 MA NHIC,CORP 01

Other Providers in PA, US

NPI Name Taxonomy Address

1285977439

MD Frank A. Fetterolf

Individual

Psychiatry Physician

401 Shady Ave Ste D103

Pittsburgh, PA

1407876030

DR. D.M.D. Becky Fox

Individual

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4813 Jonestown Rd Ste 104

Harrisburg, PA

1417421058

Briana Prescott

Individual

Speech-Language Pathologist

2616 Locust Gap Hwy

Mount Carmel, PA

1053073700

MSW, LSW Karen Copeland

Individual

Social Worker

1301 Carlisle St

Natrona Heights, PA

1033834791

Voices In Bloom Aba, Llc

Organization

Behavioral Analyst

189 Oxford Blvd

New Oxford, PA

1093260127

LCSW Linda Giselle Timme

Individual

Clinical Social Worker

2215 Forest Hills Dr

Ste 38

Harrisburg, PA

1760844864

MD Tyler Moore

Individual

Cardiovascular Disease Physician

575 Coal Valley Rd Ste 570

Jefferson Hills, PA

1922454271

Michael Joesph Popeck

Individual

Cardiovascular Disease Physician

490 E North Ave Ste 307

Pittsburgh, PA

1528638848

MISS CRNP Angela M Ravotti

Individual

Family Nurse Practitioner

12311 Perry Hwy

Wexford, PA

1306345509

MD Christopher Michael Smith

Individual

Hospice and Palliative Medicine (Internal Medicine) Physician

801 Ostrum St

Bethlehem, PA

1154435493

Shree Ganesh Pharmacy

Organization

Community/Retail Pharmacy

900 Penn St

Reading, PA

1992420582

Positive Growth Solutions, Llc

Organization

Community/Behavioral Health Agency

3759 Business 220 Ste 105

Bedford, PA

1043935414

Guffanti Wound Associates Pllc

Organization

Acute Care Nurse Practitioner

432 Alderbrook Dr

Wayne, PA

1265157630

MS. BCBA Tatyana Brandi-rae Washington

Individual

Behavioral Analyst

100 N. 18th St

Suite 300

Philadelphia, PA

1902521370

Kaitlyn Leh

Individual

Student in an Organized Health Care Education/Training Program

37 W Frederick St

Millersville, PA

1851016216

DR. PSYD Jayna Burleigh

Individual

Psychologist

1806 Skiles Blvd

West Chester, PA

1598939159

MD Yehuda Lebowicz

Individual

Hematology & Oncology Physician

1030 Beaner Hollow Rd

Beaver, PA

1093430456

Samantha Tsuchiya

Individual

Registered Nurse

1114 South St Apt 302

Philadelphia, PA

1174248520

RDN, LDN Katherine L Armstrong

Individual

Registered Dietitian

1420 Christian St Apt 1f

Philadelphia, PA

1194486290

Lycorx Llc

Organization

Pharmacy

33 W 3rd St

Williamsport, PA

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