Active NPI
Grandview Health Homes, Inc.
- Skilled Nursing Facility
- Danville, PA
National Provider Identifier
1043217243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 591602
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00755375 | Medicaid | PA | |
| 591602 | Other | PA | STATE LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.