NPIMap

Organization Active NPI

The Village at Morrisons Cove

  • Internal Medicine Physician
  • Martinsburg, PA
National Provider Identifier
1003471012
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE VILLAGE AT MORRISONS COVE
Practice address
429 S Market St
Martinsburg, PA 16662-1005
Phone
(814) 793-1430
Fax
(814) 793-5230
NPI assigned
May 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Ann Rosamilia
Title
Vice President of Community Service
Phone
(814) 793-2104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

429 S Market St
Martinsburg, PA 16662-1005

Mailing address

429 S Market St
Martinsburg, PA 16662-1005
Phone (814) 793-1430

Other names 1

  • Village In Place Physician Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190619002402 PA Part B Supplier - Clinic/Group Practice 0941335590 Receives reassigned benefits from 2 practitioners
Practice locations: Martinsburg, PA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2062564Village in Place Services429 S Market St, Martinsburg, PA 16662Certificate of waiverJul 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
The Village at Morrisons Cove5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1003471012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 S MARKET ST",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166621005",
            "telephone_number": "814-793-1430",
            "fax_number": "814-793-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S MARKET ST",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166621005",
            "telephone_number": "814-793-1430",
            "fax_number": "814-793-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE AT MORRISONS COVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "ROSAMILIA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF COMMUNITY SERVICE",
        "authorized_official_telephone_number": "814-793-2104"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village In Place Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.