Organization Active NPI

Harrisburg Senior Care LLC

  • Assisted Living Facility
  • Harrisburg, PA
National Provider Identifier
1003124793
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
325731 Issued in PA
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

Updated by the provider on Sep 16, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1022630860001MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Graysonview Harrisburg2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.