Organization Active NPI

Exc., Inc

Doing business as Bentleyville Personal Care Home

  • Assisted Living Facility
  • Bentleyville, PA
National Provider Identifier
1184805038
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
406440 Issued in PA
Legal business name
EXC., INC
Doing business as
Bentleyville Personal Care Home
Practice address
808 Main St Rear
Bentleyville, PA 15314-1214
Phone
(724) 239-2211
Fax
(724) 239-2233
NPI assigned
Nov 20, 2007
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EXC., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Andrew F Kuzy, PHARMACISTNPI 1093704728
Title
President
Phone
(724) 239-2211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 406440 PA Primary

Addresses

Primary practice location

808 Main St Rear
Bentleyville, PA 15314-1214

Mailing address

808 Main St
Bentleyville, PA 15314-1214
Phone (724) 239-2211

Other names 1

  • BENTLEYVILLE PERSONAL CARE HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Exc Inc2 organizations share this tax ID, including this one
Part of
Exc Inc

Other organizations with this tax ID 1

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

Locations

808 Main St
Bentleyville, PA 15314
Phone (724) 239-2211

808 Main St
Rear
Bentleyville, PA 15314
Phone (724) 239-2211

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1184805038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MAIN ST",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141214",
            "telephone_number": "724-239-2211",
            "fax_number": "724-239-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MAIN ST REAR",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141214",
            "telephone_number": "724-239-2211",
            "fax_number": "724-239-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXC., INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXC., INC.",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KUZY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-239-2211",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "406440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENTLEYVILLE PERSONAL CARE HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentleyville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.