Active NPI
Guardian Elder Care at Bethel Park LLC
- Skilled Nursing Facility
- Bethel Park, PA
National Provider Identifier
1124522230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GUARDIAN ELDER CARE AT BETHEL PARK LLC
- Practice address
- 1200 Braun Rd
Bethel Park, PA 15102-3106 - Phone
- (412) 854-5500
- NPI assigned
- Mar 22, 2018
- 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
- Armando Fortunato
- Title
- Cfo
- Phone
- (814) 265-1164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1200 Braun Rd
Bethel Park, PA 15102-3106
Mailing address
8796 Route 219
Brockway, PA 15824-6010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103486184-0001 | Medicaid | PA |
Other names 1
- Guardian Healthcare Meadowcrest
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- MC Murray, PA
- NPI 1871570465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684368000000",
"number": "1124522230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8796 ROUTE 219",
"city": "BROCKWAY",
"state": "PA",
"postal_code": "158246010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BRAUN RD",
"city": "BETHEL PARK",
"state": "PA",
"postal_code": "151023106",
"telephone_number": "412-854-5500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUARDIAN ELDER CARE AT BETHEL PARK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-22",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A",
"authorized_official_last_name": "FORTUNATO",
"authorized_official_first_name": "ARMANDO",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "814-265-1164"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103486184-0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Guardian Healthcare Meadowcrest",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bethel Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.