Organization Active NPI

Grandview Health Homes, Inc.

  • Skilled Nursing Facility
  • Danville, PA
National Provider Identifier
1043217243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
591602 Issued in PA
Legal business name
GRANDVIEW HEALTH HOMES, INC.
Practice address
49 Woodbine LN
Danville, PA 17821-8022
Phone
(570) 275-5240
Fax
(570) 275-3104
NPI assigned
Jul 1, 2005
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. Jerry E Boone, OWNER
Title
President
Phone
(570) 275-5240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 591602 PA Primary

Addresses

Primary practice location

49 Woodbine LN
Danville, PA 17821-8022

Mailing address

49 Woodbine LN
Danville, PA 17821-8022
Phone (570) 275-5240

Other identifiers 2

IdentifierTypeStateIssuer
00755375MedicaidPA
591602OtherPASTATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043217243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218022",
            "telephone_number": "570-275-5240",
            "fax_number": "570-275-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WOODBINE LN",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218022",
            "telephone_number": "570-275-5240",
            "fax_number": "570-275-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW HEALTH HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-275-5240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "591602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00755375",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "591602",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, 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.