Perini Services/Southampton Manor LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

035002 Issued in PA

Legal business name

PERINI SERVICES/SOUTHAMPTON MANOR LP

Practice address

141 Walnut Bottom Road
Shippensburg, PA 17257-9005

Phone

(717) 530-8300

Fax

(717) 530-8304

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John P Perini

Title

President

Phone

(301) 745-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shippensburg Health Care Center Doing business as

Locations

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1073572871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 UNDERPASS WAY",
            "address_2": "SUITE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406979",
            "telephone_number": "301-745-8700",
            "fax_number": "301-790-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WALNUT BOTTOM ROAD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579005",
            "telephone_number": "717-530-8300",
            "fax_number": "717-530-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERINI SERVICES/SOUTHAMPTON MANOR LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "PERINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-745-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "035002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015509080002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shippensburg Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adelina L Palade, MD
• Albert Louis Parrillo III, PH.D., LPC
• Himani Patel
• Rubens Paul
• Pennsylvania CVS Pharmacy LLC
• Nathan Petula, PA-C
• Pinnacle Health Medical Services
• Amber Pradhan
• John Vincent Price, RPH
• Brandon Pruznak

• Skilled Nursing Facility in Shippensburg, PA
• Providers in Shippensburg, 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 Sep 16, 2009; 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.