St. Luke'S Villa

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

600602 Issued in PA

Legal business name

ST. LUKE'S VILLA

Practice address

80 E Northampton St
Wilkes Barre, PA 18701-3035

Phone

(570) 830-3905

Fax

(570) 826-5053

NPI assigned

Apr 11, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Maureen B.Kenny McHale, MBA MST

Title

Director of Finance

Phone

(570) 823-6131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1063702074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MEADE ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026221",
            "telephone_number": "570-823-6131",
            "fax_number": "570-823-5171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E NORTHAMPTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013035",
            "telephone_number": "570-830-3905",
            "fax_number": "570-826-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "MCHALE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "B.KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "570-823-6131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA  MST"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "600602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard L Spector, DO
• Robert Speicher, PTA
• Mary Beth Bridget Spellman, OTR/L
• Catherine Spencer, RN, BSN
• Cindy Lou Spock
• Jennifer Stahl
• Jill Nicole Stahl
• Stallington Dialysis LLC
• Anthony Stambone III, PHARMD
• Rebecca Ann Stankoski, PHD, CRNP

• Skilled Nursing Facility in Wilkes Barre, PA
• Providers in Wilkes Barre, 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 Apr 11, 2011; 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.