BCC Altoona Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

309130 Issued in PA

Legal business name

BCC ALTOONA OPERATIONS, LLC

Doing business as

Elmcroft of Altoona

Practice address

170 Red Fox Dr
Duncansville, PA 16635-8338

Phone

(814) 695-8425

Fax

(814) 695-3400

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Robin L. Barber, JD

Title

Vice President

Phone

(502) 753-6004

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elmcroft of Altoona Doing business as

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1033546627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6004",
            "fax_number": "502-753-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 RED FOX DR",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358338",
            "telephone_number": "814-695-8425",
            "fax_number": "814-695-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCC ALTOONA OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "309130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE HOME",
            "identifier": "309130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Altoona",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Duncansville, PA
• Providers in Duncansville, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.