Organization Active NPI

Reliant Pembrooke LLC

  • Skilled Nursing Facility
  • West Chester, PA
National Provider Identifier
1053746222
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
230602 Issued in PA
Legal business name
RELIANT PEMBROOKE LLC
Doing business as
Pembrooke Health and Rehabiliation Center
Practice address
1130 W Chester Pike
West Chester, PA 19382-5005
Phone
(610) 692-3636
Fax
(610) 918-0142
NPI assigned
Sep 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Anthony J. Sciole
Title
Cfo
Phone
(215) 558-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 230602 PA Primary

Addresses

Primary practice location

1130 W Chester Pike
West Chester, PA 19382-5005

Mailing address

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

Other names 1

  • Pembrooke Health and Rehabiliation 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": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1053746222",
    "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": "1130 W CHESTER PIKE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193825005",
            "telephone_number": "610-692-3636",
            "fax_number": "610-918-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT PEMBROOKE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "SCIOLE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-558-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "230602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pembrooke Health and Rehabiliation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.