Reliant Nipple Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RELIANT NIPPLE HOLDINGS LLC

Doing business as

Nipple Convalescent Home

Practice address

100 South Front St
Liverpool, PA 17045-0610

Phone

(717) 444-3413

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Myzal

Title

Coo

Phone

(215) 558-3700

Specialties & licenses 1

Addresses

Other names 1

• Nipple Convalescent Home Doing business as

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1114284528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 ISLAND AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191533228",
            "telephone_number": "215-558-3700",
            "fax_number": "215-558-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH FRONT ST",
            "city": "LIVERPOOL",
            "state": "PA",
            "postal_code": "170450610",
            "telephone_number": "717-444-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT NIPPLE HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "MYZAL",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "215-558-3700"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nipple Convalescent Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Ronald Harty, MD
• Bayley Hess
• Liverpool Emergency Medical Services
• Starr Lynden Paige-Auker
• Linda R Reichenbach
• Jessica Zawisky, MS CCC SLP

• Skilled Nursing Facility in Liverpool, PA
• Providers in Liverpool, 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 23, 2012; 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.