Active NPI
Harrisburg Senior Care LLC
- Assisted Living Facility
- Harrisburg, PA
National Provider Identifier
1003124793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 325731
- Legal business name
- HARRISBURG SENIOR CARE LLC
- Practice address
- 150 Kempton Ave
Harrisburg, PA 17111-3543 - Phone
- (717) 558-7771
- NPI assigned
- Sep 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Cathy Murray
- Title
- Accounting Manager
- Phone
- (717) 591-5706
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 325731 | PA | Primary |
| Assisted Living Facility (Mental Illness) | 3104A0625X | 325731 | PA |
Addresses
Primary practice location
150 Kempton Ave
Harrisburg, PA 17111-3543
Mailing address
4550 Lena Dr
Suite 225
Mechanicsburg, PA 17055-4922
Phone (717) 591-5706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022630860001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Graysonview Harrisburg
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Mechanicsburg, PA
- NPI 1265672208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284595200000",
"number": "1003124793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 LENA DR",
"address_2": "SUITE 225",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170554922",
"telephone_number": "717-591-5706",
"fax_number": "717-591-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 KEMPTON AVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113543",
"telephone_number": "717-558-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARRISBURG SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-16",
"last_updated": "2010-09-16",
"status": "A",
"authorized_official_last_name": "MURRAY",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "ACCOUNTING MANAGER",
"authorized_official_telephone_number": "717-591-5706",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "325731",
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "PA",
"license": "325731",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022630860001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
- Harrisburg Interventional Pain MGMT Ctr
- Harrisburg Medical Partners, LLC
- Harrisburg Orthodontics Assoc LLC
- Harrisburg Orthopedics & Therapy, PC
- Harrisburg Psychiatric Associates, P.C.
- Jessica Mitchell Hart, MA LIC
- Tonya L Hart, CRNP
- Virginia H Hart, PH.D.
- Tam Hartaman-Motter, B.S.
- Madie D Hartman, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.