Fair Winds Manor, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060102 Issued in PA

Legal business name

FAIR WINDS MANOR, LP

Practice address

126 Iron Bridge Rd
Sarver, PA 16055-8603

Phone

(724) 353-1531

Fax

(724) 353-1117

NPI assigned

Jul 27, 2005

Last updated

Mar 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven D Tack

Title

Ceo

Phone

(724) 431-0770

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Curtis Adams, M.D.

  • Internal Medicine Physician
  • Saxonburg, PA
  • NPI 1093911588
  NPD (past)

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426377600000",
    "number": "1023018504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 IRON BRIDGE RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160558603",
            "telephone_number": "724-353-1531",
            "fax_number": "724-353-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 IRON BRIDGE RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160558603",
            "telephone_number": "724-353-1531",
            "fax_number": "724-353-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR WINDS MANOR, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2015-03-15",
        "status": "A",
        "authorized_official_last_name": "TACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "724-431-0770"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "060102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THREE RIVERS HEALTH PLAN",
            "identifier": "00000092631",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1511429",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019292010001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC",
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin R Cortese
• Shawn M Crossley
• Kathryn M Davis
• Kelly M Donlan, O.D.
• John Stanley Dudkowski, DC
• Fitzgerald Dental Associates, PC
• Carly Fitzgerald, DMD
• Kimberly Ann Fitzgerald, DMD
• Adam Jonathon Foust, D.P.T.
• Frazetta Chiropractic Wellness Center

• Skilled Nursing Facility in Sarver, PA
• Providers in Sarver, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; 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.