Organization Active NPI

Scranton Health Care Center

  • Skilled Nursing Facility
  • Scranton, PA
National Provider Identifier
1013074269
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
17720201 Issued in PA
Legal business name
SCRANTON HEALTH CARE CENTER
Practice address
2933 McCarthy St
Scranton, PA 18505-3017
Phone
(570) 341-6676
Fax
(570) 341-6678
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Kelly, MBA, NHA
Title
Managing Member
Phone
(570) 341-6676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 17720201 PA Primary

Addresses

Primary practice location

2933 McCarthy St
Scranton, PA 18505-3017

Mailing address

2933 McCarthy St
Scranton, PA 18505-3017
Phone (570) 341-6676

Other identifiers 1

IdentifierTypeStateIssuer
1011919840001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2933 McCarthy St
Scranton, PA 18505
Phone (570) 341-6676

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013074269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 MCCARTHY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053017",
            "telephone_number": "570-341-6676",
            "fax_number": "570-341-6678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 MCCARTHY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053017",
            "telephone_number": "570-341-6676",
            "fax_number": "570-341-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCRANTON HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "570-341-6676",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "17720201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011919840001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.