Active NPI
Las Geriatric Care Services, Inc.
- Rehabilitation Clinic/Center
- Zelienople, PA
National Provider Identifier
1003246547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- OC012054
- Legal business name
- LAS GERIATRIC CARE SERVICES, INC.
- Practice address
- 105 Burgess Dr
Zelienople, PA 16063-2525 - Phone
- (724) 452-3492
- Fax
- (724) 452-2361
- NPI assigned
- Nov 20, 2013
- 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
- Jeffrey Carraway
- Title
- Cfo
- Phone
- (724) 776-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | OC012054 | PA | Primary |
Addresses
Primary practice location
105 Burgess Dr
Zelienople, PA 16063-2525
Mailing address
105 Burgess Dr
Zelienople, PA 16063-2525
Phone (724) 452-3492
Other practice location 1
500 Wittenberg Way
Mars, PA 16046-3452
Phone (724) 452-3492
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1003246547. Details of each certification follow.
Outpatient physical therapy / speech pathology certification: CCN 396794
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- LAS/GERIATRIC CARE SERVICES IN
- Certification status
- Active
- Provider type (POS)
- Outpatient physical therapy / speech pathology
- Participating since
- Jan 14, 2002
- Last certification
- Aug 6, 2020
- Ownership / control type
- Voluntary Non-Profit Other Than Church
- Facility address
- 105 Burgess Drive
Zelienople, PA 16063
National Provider Directory
National Provider Directory- Tax ID family
- Las Geriatric Care Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Aliquippa, PA
- NPI 1548280076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1003246547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 BURGESS DR",
"city": "ZELIENOPLE",
"state": "PA",
"postal_code": "160632525",
"telephone_number": "724-452-3492",
"fax_number": "724-452-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 BURGESS DR",
"city": "ZELIENOPLE",
"state": "PA",
"postal_code": "160632525",
"telephone_number": "724-452-3492",
"fax_number": "724-452-2361"
}
],
"practiceLocations": [
{
"address_1": "500 Wittenberg Way",
"address_purpose": "LOCATION",
"city": "Mars",
"state": "PA",
"postal_code": "160463452",
"country_code": "US",
"telephone_number": "724-452-3492",
"fax_number": "724-452-2361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LAS GERIATRIC CARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-20",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "CARRAWAY",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "724-776-1100"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "PA",
"license": "OC012054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Zelienople, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.