Organization Active NPI

Forest Park Nursing and Rehabilitation LLC

  • Skilled Nursing Facility
  • Carlisle, PA
National Provider Identifier
1104570696
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Feb 4, 2022

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)CodeLicenseStatePrimary
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 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": "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.

Verify at the official NPI Registry.