Guardian Elder Care at Bloomsburg LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GUARDIAN ELDER CARE AT BLOOMSBURG LLC

Practice address

3298 Ridge Rd
Bloomsburg, PA 17815-7932

Phone

(570) 784-6688

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

Armando Fortunato

Title

Cfo

Phone

(814) 265-1164

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sunset Ridge Healthcare and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1184139552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8796 ROUTE 219",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158246010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 RIDGE RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178157932",
            "telephone_number": "570-784-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ELDER CARE AT BLOOMSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "FORTUNATO",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-265-1164"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103462290-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunset Ridge Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunset Ridge Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christopher Guirguis, MD, DMD
• Lauren Guirguis
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• Devon Haag
• Amanda Haile, MS

• Skilled Nursing Facility in Bloomsburg, PA
• Providers in Bloomsburg, 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 May 18, 2023; 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.