Nugent Convalescent Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

140702 Issued in PA

Legal business name

NUGENT CONVALESCENT HOME, INC.

Practice address

500 Clarksville Rd
Hermitage, PA 16148-2954

Phone

(724) 981-6610

Fax

(724) 981-3224

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert S Freed

Title

Administrator

Phone

(724) 981-6610

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1184869877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CLARKSVILLE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482954",
            "telephone_number": "724-981-6610",
            "fax_number": "724-981-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CLARKSVILLE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482954",
            "telephone_number": "724-981-6610",
            "fax_number": "724-981-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUGENT CONVALESCENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-981-6610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "140702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022367860001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northland Hearing Centers Inc
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• Nugent Convalescent Home, Inc
• Thomas M O Mahony, LICSW
• Jennifer Rose O'Hare
• Leah Renee O'Kresik
• Sheila Kaye O'Kresik, MA LPC
• Sandra Lou O'Linc, P.T.

• Skilled Nursing Facility in Hermitage, PA
• Providers in Hermitage, 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 Feb 1, 2016; 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.