Centre Crest

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031702 Issued in PA

Legal business name

CENTRE CREST

Practice address

502 E Howard St
Bellefonte, PA 16823

Phone

(814) 355-6777

Fax

(814) 355-6999

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard J Bruno

Title

Administrator

Phone

(814) 355-6777

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Centre Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Centre Care, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Bellefonte, PA
  • NPI 1548602964
  NPD tax ID

Locations

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043216351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E HOWARD ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "16823",
            "telephone_number": "814-355-6777",
            "fax_number": "814-355-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E HOWARD ST",
            "city": "BELLEFONTE",
            "state": "PA",
            "postal_code": "16823",
            "telephone_number": "814-355-6777",
            "fax_number": "814-355-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE CREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUNO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-355-6777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "031702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH STATE LICENSE NUMBER",
            "identifier": "031702",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007296630007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Cartwright, BSN, RN
• Centre Audiology &Hearing AIDS, Inc
• Centre Care, Inc.
• Centre County MH Mr Da
• Centre County Office of Aging
• Centre Crest Pharmacy
• Centre Marriage and Relational Therapy, LLC
• Centre Medical and Surgical Associates, P.C.
• Centre Medical and Surgical Associates, P.C.
• Susan K. Clouser, P.T

• Skilled Nursing Facility in Bellefonte, PA
• Providers in Bellefonte, 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 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.