Susans Victorian Cottage

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

001030 Issued in PA

Legal business name

SUSANS VICTORIAN COTTAGE

Practice address

111 Hydrangea Lane
Mount Pleasant, PA 15666-3648

Phone

(724) 424-8706

Fax

(724) 423-6238

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan S Murphy, RN

Title

Owner Administrator

Phone

(724) 423-8706

Specialties & licenses 1

Addresses

Other names 1

• Victorian Cottage Personal Care Home Other name

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164633285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 5 BOX 64E (OLD ADDRESS BEFORE IT CHANGED)",
            "address_2": "111 HYDRANGEA LANE (NEW 911 EMS ADDRESS)",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156663648",
            "telephone_number": "724-424-8706",
            "fax_number": "724-423-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HYDRANGEA LANE",
            "city": "MOUNT PLEASANT",
            "state": "PA",
            "postal_code": "156663648",
            "telephone_number": "724-424-8706",
            "fax_number": "724-423-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSANS VICTORIAN COTTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "724-423-8706",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "001030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victorian Cottage Personal Care Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Mount Pleasant, PA
• Providers in Mount Pleasant, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.