Organization Active NPI

Tapestry Moon, LLC

Doing business as Tapestry Senior Living Moon Township

  • Assisted Living Facility
  • Coraopolis, PA
National Provider Identifier
1174373617
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TAPESTRY MOON, LLC
Doing business as
Tapestry Senior Living Moon Township
Practice address
550 Cherrington Pkwy
Coraopolis, PA 15108-4302
Phone
(412) 507-9999
Fax
(412) 595-5488
NPI assigned
Mar 26, 2024
Last updated
Mar 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Teresa Pawlina
Title
Chief Clinical Officer, Principal
Phone
(507) 398-9972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

550 Cherrington Pkwy
Coraopolis, PA 15108-4302

Mailing address

2001 Killebrew Dr Ste 100
Bloomington, MN 55425-1884
Phone (952) 854-8800

Other names 1

  • Tapestry Senior Living Moon Township Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2171026Tapestry Moon, LLC550 Cherrington Parkway, Coraopolis, PA 15108Certificate of waiverAug 22, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1174373617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 KILLEBREW DR STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251884",
            "telephone_number": "952-854-8800",
            "fax_number": "952-854-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CHERRINGTON PKWY",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084302",
            "telephone_number": "412-507-9999",
            "fax_number": "412-595-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAPESTRY MOON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "PAWLINA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER, PRINCIPAL",
        "authorized_official_telephone_number": "507-398-9972"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tapestry Senior Living Moon Township",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coraopolis, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.