Active NPI
Skyvue Terrace
- Pediatric Skilled Nursing Facility
- Pittsburgh, PA
National Provider Identifier
1083815898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- Legal business name
- SKYVUE TERRACE
- Practice address
- 2170 Rhine St
Pittsburgh, PA 15212-3569 - Phone
- (412) 323-0420
- Fax
- (412) 323-0800
- NPI assigned
- May 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Baron
- Title
- Administrator
- Phone
- (412) 323-0420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | Primary |
Addresses
Primary practice location
2170 Rhine St
Pittsburgh, PA 15212-3569
Mailing address
2170 Rhine St
Pittsburgh, PA 15212-3569
Phone (412) 323-0420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007785050007 | Medicaid | PA |
Other names 1
- HCR Manorcare
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Hillsboro, OH
- NPI 1184666711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083815898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 RHINE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152123569",
"telephone_number": "412-323-0420",
"fax_number": "412-323-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 RHINE ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152123569",
"telephone_number": "412-323-0420",
"fax_number": "412-323-0800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYVUE TERRACE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BARON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "412-323-0420"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007785050007",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HCR Manorcare",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.