Organization Active NPI

Chariot Beaver Falls SNF Opco LLC

  • Skilled Nursing Facility
  • Beaver Falls, PA
National Provider Identifier
1053084871
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHARIOT BEAVER FALLS SNF OPCO LLC
Practice address
900 3Rd Ave
Beaver Falls, PA 15010-4613
Phone
(724) 846-8504
NPI assigned
Jul 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Shana K Mark, MBA
Title
Dir of Provider Contracts
Phone
(814) 277-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

900 3Rd Ave
Beaver Falls, PA 15010-4613

Mailing address

270 Walker Dr
State College, PA 16801-7097
Phone (814) 277-4500

Other names 1

  • Providence Nursing & Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1053084871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 WALKER DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017097",
            "telephone_number": "814-277-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 3RD AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104613",
            "telephone_number": "724-846-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIOT BEAVER FALLS SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIR OF PROVIDER CONTRACTS",
        "authorized_official_telephone_number": "814-277-4500",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.