136 Donahoe Manor Road Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

136 DONAHOE MANOR ROAD OPERATIONS LLC

Doing business as

Bedford Skilling Nursing and Rehabilitation Center

Practice address

136 Donahue Manor Rd
Bedford, PA 15522-9728

Phone

(505) 468-4742

NPI assigned

Dec 1, 2022

Last updated

Jan 6, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

GENESIS PM PA OPERATIONS LLCAs reported in NPPES

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

Authorized official

Name

Michael T Berg, JD

Title

VP and Asst Secretary

Phone

(505) 468-4742

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BEDFORD SKILLING NURSING AND REHABILITATION CENTER Doing business as

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.

• George Michael Zubak, MD

  • Specialist
  • Everett, PA
  • NPI 1659347847
  NPD (past)

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1023728805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "505-468-4742",
            "fax_number": "610-444-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 DONAHUE MANOR RD",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155229728",
            "telephone_number": "505-468-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "136 DONAHOE MANOR ROAD OPERATIONS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS PM PA OPERATIONS LLC",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP AND ASST SECRETARY",
        "authorized_official_telephone_number": "505-468-4742",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR",
            "identifier": "395221",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEDFORD SKILLING NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEDFORD SKILLING NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Thomas J Allen, D.C.
• Alternative Community Resource Program

• Skilled Nursing Facility in Bedford, PA
• Providers in Bedford, 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 Jan 6, 2023; 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.