Brookline at Mifflintown Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BROOKLINE AT MIFFLINTOWN INC

Doing business as

Brookline Healthcare and Rehabilitation Center

Practice address

2 Manor Blvd
Mifflintown, PA 17059-8757

Phone

(717) 436-2178

NPI assigned

May 5, 2006

Last updated

May 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Armando Fortunato

Title

Cfo

Phone

(814) 265-1164

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brookline Healthcare and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1043268543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8796 ROUTE 219",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158246010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MANOR BLVD",
            "city": "MIFFLINTOWN",
            "state": "PA",
            "postal_code": "170598757",
            "telephone_number": "717-436-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLINE AT MIFFLINTOWN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "FORTUNATO",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-265-1164"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001701388-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookline Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookline Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Stephen Michael Bowers, COTA/L
• Brookline Manor Rehabilitation and Healthcare LLC
• Traci Marie Brubaker, MPT
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• Central Juniata Emergency Medical Service

• Skilled Nursing Facility in Mifflintown, PA
• Providers in Mifflintown, 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 May 18, 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.