NPIMap

Organization Active NPI

Osprey Ridge Healthcare Center

  • Skilled Nursing Facility
  • Carbondale, PA
National Provider Identifier
1154303311
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
067702 Issued in PA
Legal business name
OSPREY RIDGE HEALTHCARE CENTER
Practice address
45 N Scott St
Carbondale, PA 18407-1833
Phone
(570) 282-1099
Fax
(570) 282-5380
NPI assigned
Nov 15, 2005
Last updated
Oct 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Mrs. Donna Salko
Title
President
Phone
(570) 282-1099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 067702 PA Primary

Addresses

Primary practice location

45 N Scott St
Carbondale, PA 18407-1833

Mailing address

45 N Scott St
Carbondale, PA 18407-1833
Phone (570) 282-1099

Other identifiers 1

IdentifierTypeStateIssuer
0015819780002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1154303311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N SCOTT ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071833",
            "telephone_number": "570-282-1099",
            "fax_number": "570-282-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N SCOTT ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071833",
            "telephone_number": "570-282-1099",
            "fax_number": "570-282-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSPREY RIDGE HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "SALKO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-282-1099",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "067702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015819780002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.