Rha/Pennsylvania Nursing Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RHA/PENNSYLVANIA NURSING HOME INC

Doing business as

Prospect Park Health & Rehab

Practice address

815 Chester Pike
Prospect Park, PA 19076-2322

Phone

(610) 586-6262

Fax

(610) 586-4420

NPI assigned

Sep 6, 2005

Last updated

Jul 29, 2008By 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

Marge Richards

Title

Office Manager

Phone

(610) 586-6262

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Prospect Park Health & Rehab Doing business as

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1134113293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 CHESTER PIKE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190762322",
            "telephone_number": "610-586-6262",
            "fax_number": "610-586-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CHESTER PIKE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190762322",
            "telephone_number": "610-586-6262",
            "fax_number": "610-586-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHA/PENNSYLVANIA NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "MARGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-586-6262"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "162502",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0005798000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100728085-0006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospect Park Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Prospect Park, PA
• Providers in Prospect Park, 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 Jul 29, 2008; 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.