Chariot Johnstown SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHARIOT JOHNSTOWN SNF OPCO LLC

Practice address

100 Woodmont Rd
Johnstown, PA 15905-1342

Phone

(814) 873-1944

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Shana K Mark, MBA

Title

Dir Provider Contracts

Phone

(814) 277-4500

Specialties & licenses 1

Addresses

Other names 1

• Laurel Wood Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1194498907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 WALKER DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017097",
            "telephone_number": "814-277-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODMONT RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051342",
            "telephone_number": "814-873-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIOT JOHNSTOWN SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIR PROVIDER CONTRACTS",
        "authorized_official_telephone_number": "814-277-4500",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Wood Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariann M Cerimele, CRNA
• Gi Ming Chan, ND
• John O. Chan, MD
• Bethany Chappell
• Chariot Johnstown Alf Operations Opco LLC
• Charles G Shea DMD PC
• Charles G.Shea,DMD,PC
• Charles W. Stotler, M.D.
• Christine Mary Charney, M.A.
• Brandon Cheskiewicz, PHARMD

• All providers in Johnstown, PA
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.