Hanover Healthcare, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

590102 Issued in PA

Legal business name

HANOVER HEALTHCARE, INC

Doing business as

Havover Hall Nursing & Rehab Center

Practice address

267 Frederick St
Hanover, PA 17331-3614

Phone

(717) 637-8937

Fax

(717) 637-3939

NPI assigned

Jul 21, 2005

Last updated

Jan 22, 2010By 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

Mr. Richard W Bricker

Title

Vice-President

Phone

(717) 854-7857

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Havover Hall Nursing & Rehab Center Doing business as

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1154321008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 FREDERICK ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313614",
            "telephone_number": "717-637-8937",
            "fax_number": "717-637-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 FREDERICK ST",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313614",
            "telephone_number": "717-637-8937",
            "fax_number": "717-637-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "BRICKER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "717-854-7857",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "590102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0886297",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havover Hall Nursing & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanover Health Corporation, Inc (Vipul Shah, MD.)
• Hanover Health Corporation, Inc. (David L. Crooks, M.D.)
• Hanover Health Corporation, Inc. (Carlos Medina, M.D.)
• Hanover Health Corporation, Inc. (Zaher Srour, M.D.)
• Hanover Health Corporation, Inc. (Physical Medicine Specialist of Hanover)
• Hanover Hearing Center
• Hanover Home Health, Inc.
• Hanover Hospital Inc. (HanoverWorks)
• Hanover Hospital Inc. (Center for Acute Rehabilitative Medicine)
• Hanover Hospital Services (Hillside Medical Center Specialty Pharmacy)

• Skilled Nursing Facility in Hanover, PA
• Providers in Hanover, 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 Jan 22, 2010; 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.