NPIMap

Organization Active NPI

Reliant Coventry Holdings LLC

  • Skilled Nursing Facility
  • Pottstown, PA
National Provider Identifier
1053678987
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RELIANT COVENTRY HOLDINGS LLC
Doing business as
Coventry Manor Health and Rehabilitation Center
Practice address
3031 Chestnut Hill Rd
Pottstown, PA 19465-8560
Phone
(610) 469-6228
NPI assigned
Apr 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

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

Authorized official

Name
Marc Myzal
Title
Coo
Phone
(215) 558-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3031 Chestnut Hill Rd
Pottstown, PA 19465-8560

Mailing address

3601 Island Ave
Philadelphia, PA 19153-3228
Phone (215) 558-3700

Other names 1

  • Coventry Manor Health and 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": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1053678987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533228",
            "telephone_number": "215-558-3700",
            "fax_number": "215-558-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 CHESTNUT HILL RD",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194658560",
            "telephone_number": "610-469-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT COVENTRY HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "MYZAL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "215-558-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coventry Manor Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.