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 |
Official Name | NHA Steven D Tack |
Official Position | CEO |
Phone | 724-431-0770 |
Taxonomy Code | |
Taxonomy Name | Nursing Facility/Intermediate Care Facility |
Classification | |
Group | |
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. |
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 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MD Frank A. Fetterolf Individual |
401 Shady Ave Ste D103 |
||
DR. D.M.D. Becky Fox Individual |
4813 Jonestown Rd Ste 104 |
||
Briana Prescott Individual |
2616 Locust Gap Hwy |
||
MSW, LSW Karen Copeland Individual |
1301 Carlisle St |
||
Voices In Bloom Aba, Llc Organization |
189 Oxford Blvd |
||
LCSW Linda Giselle Timme Individual |
2215 Forest Hills Dr Ste 38 |
||
MD Tyler Moore Individual |
575 Coal Valley Rd Ste 570 |
||
Michael Joesph Popeck Individual |
490 E North Ave Ste 307 |
||
MISS CRNP Angela M Ravotti Individual |
12311 Perry Hwy |
||
MD Christopher Michael Smith Individual |
Hospice and Palliative Medicine (Internal Medicine) Physician |
801 Ostrum St |
|
Shree Ganesh Pharmacy Organization |
900 Penn St |
||
Positive Growth Solutions, Llc Organization |
3759 Business 220 Ste 105 |
||
Guffanti Wound Associates Pllc Organization |
432 Alderbrook Dr |
||
MS. BCBA Tatyana Brandi-rae Washington Individual |
100 N. 18th St Suite 300 |
||
Kaitlyn Leh Individual |
Student in an Organized Health Care Education/Training Program |
37 W Frederick St |
|
DR. PSYD Jayna Burleigh Individual |
1806 Skiles Blvd |
||
MD Yehuda Lebowicz Individual |
1030 Beaner Hollow Rd |
||
Samantha Tsuchiya Individual |
1114 South St Apt 302 |
||
RDN, LDN Katherine L Armstrong Individual |
1420 Christian St Apt 1f |
||
Lycorx Llc Organization |
33 W 3rd St |
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