Organization Active NPI

Villa Crest LLC

  • Skilled Nursing Facility
  • Johnstown, PA
National Provider Identifier
1194204917
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VILLA CREST LLC
Practice address
1451 Frankstown Rd
Johnstown, PA 15902-1318
Phone
(814) 288-1418
Fax
(814) 288-1525
NPI assigned
Aug 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Mr. Jerry William Otto, NHA
Title
Administrator/Consultant
Phone
(814) 288-1418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1451 Frankstown Rd
Johnstown, PA 15902-1318

Mailing address

1451 Frankstown Rd
Johnstown, PA 15902-1318
Phone (814) 288-1418

Other practice location 1

482 Southmont Blvd
Johnstown, PA 15905-2821
Phone (814) 659-7606

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1194204917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 FRANKSTOWN RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159021318",
            "telephone_number": "814-288-1418",
            "fax_number": "814-288-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 FRANKSTOWN RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159021318",
            "telephone_number": "814-288-1418",
            "fax_number": "814-288-1525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "482 Southmont Blvd",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "PA",
            "postal_code": "159052821",
            "country_code": "US",
            "telephone_number": "814-659-7606",
            "fax_number": "814-288-1525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VILLA CREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-13",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR/CONSULTANT",
        "authorized_official_telephone_number": "814-288-1418",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.