NPIMap

Organization Active NPI

Sundance Rehabilitation Corporation

  • Assisted Living Facility
  • South Park, PA
National Provider Identifier
1205096971
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
OP-001698-L Issued in PA
Legal business name
SUNDANCE REHABILITATION CORPORATION
Practice address
1400 Riggs Rd
Suite 2
South Park, PA 15129-8917
Phone
(412) 653-3242
Fax
(412) 655-4178
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Shannan Lynn Rederer, COTA/L
Title
Therapy Program Manager
Phone
(412) 653-3242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X OP-001698-L PA Primary

Addresses

Primary practice location

1400 Riggs Rd
Suite 2
South Park, PA 15129-8917

Mailing address

1400 Riggs Rd
Suite 2
South Park, PA 15129-8917
Phone (412) 653-3242

National Provider Directory

National Provider Directory

Locations

1400 Riggs Rd
Ste 2
South Park, PA 15129
Phone (412) 653-3242

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.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1205096971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 RIGGS RD",
            "address_2": "SUITE 2",
            "city": "SOUTH PARK",
            "state": "PA",
            "postal_code": "151298917",
            "telephone_number": "412-653-3242",
            "fax_number": "412-655-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 RIGGS RD",
            "address_2": "SUITE 2",
            "city": "SOUTH PARK",
            "state": "PA",
            "postal_code": "151298917",
            "telephone_number": "412-653-3242",
            "fax_number": "412-655-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE REHABILITATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "REDERER",
        "authorized_official_first_name": "SHANNAN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "THERAPY PROGRAM MANAGER",
        "authorized_official_telephone_number": "412-653-3242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "OP-001698-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.