Active NPI
Forest Park Nursing and Rehabilitation LLC
- Skilled Nursing Facility
- Carlisle, PA
National Provider Identifier
1104570696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FOREST PARK NURSING AND REHABILITATION LLC
- Practice address
- 700 Walnut Bottom Rd
Carlisle, PA 17013-3631 - Phone
- (717) 960-7700
- NPI assigned
- Feb 4, 2022
- 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
- Yechiel Hirth
- Title
- Ceo
- Phone
- (732) 744-4611
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
700 Walnut Bottom Rd
Carlisle, PA 17013-3631
Mailing address
28 Roosevelt Ave
Lakewood, NJ 08701-5654
Phone (732) 744-4611
Other names 1
- Forest Park Nursing and Rehabilitation
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643932800000",
"number": "1104570696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 ROOSEVELT AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015654",
"telephone_number": "732-744-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 WALNUT BOTTOM RD",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133631",
"telephone_number": "717-960-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST PARK NURSING AND REHABILITATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-04",
"last_updated": "2022-02-04",
"certification_date": "2022-02-04",
"status": "A",
"authorized_official_last_name": "HIRTH",
"authorized_official_first_name": "YECHIEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "732-744-4611"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Forest Park Nursing and Rehabilitation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.