The Hearthside SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE HEARTHSIDE SNF LLC

Doing business as

The Hearthside Rehabilitation and Nursing Center

Practice address

450 Waupelani Dr
State College, PA 16801-4516

Phone

(814) 237-0630

NPI assigned

Sep 21, 2009

Last updated

Sep 21, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Nathan Stern

Title

Operator

Phone

(732) 942-1344

Specialties & licenses 2

Addresses

Other names 1

• The Hearthside Rehabilitation and Nursing Center Doing business as

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1184958308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4597 ROUTE 9 N",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313382",
            "telephone_number": "732-942-1344",
            "fax_number": "132-942-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WAUPELANI DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014516",
            "telephone_number": "814-237-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEARTHSIDE SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "732-942-1344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hearthside Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in State College, PA
• Providers in State College, 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 Sep 21, 2009; 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.