NPIMap

Organization Active NPI

Guardian Rehabilitation Services

  • Nursing Facility/Intermediate Care Facility
  • Weatherly, PA
National Provider Identifier
1154763761
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
SL009235 Issued in PA
Legal business name
GUARDIAN REHABILITATION SERVICES
Practice address
1000 Evergreen Ave
Weatherly, PA 18255-1530
Phone
(570) 427-8683
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Wendy Echeverria, SLP
Title
Rehab Manager
Phone
(570) 427-8683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X SL009235 PA Primary

Addresses

Primary practice location

1000 Evergreen Ave
Weatherly, PA 18255-1530

Mailing address

1000 Evergreen Ave
Weatherly, PA 18255-1530
Phone (570) 427-8683

National Provider Directory

National Provider Directory
Tax ID family
Carbon County2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1154763761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EVERGREEN AVE",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182551530",
            "telephone_number": "570-427-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EVERGREEN AVE",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182551530",
            "telephone_number": "570-427-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "ECHEVERRIA",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "REHAB MANAGER",
        "authorized_official_telephone_number": "570-427-8683",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "PA",
            "license": "SL009235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherly, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.