Carbon County

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030602 Issued in PA

Legal business name

CARBON COUNTY

Practice address

1000 Evergreen Ave
Weatherly, PA 18255-1530

Phone

(570) 427-8683

Fax

(570) 427-4988

NPI assigned

Jun 15, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Louise Bekisz, NHA

Title

Nursing Home Administrator

Phone

(570) 427-8683

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Carbon County Nursing Home & Rehabilitation Center Doing business as

Locations

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1235134446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EVERGREEN AVE",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182551530",
            "telephone_number": "570-427-8683",
            "fax_number": "570-427-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EVERGREEN AVE",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182551530",
            "telephone_number": "570-427-8683",
            "fax_number": "570-427-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "BEKISZ",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "570-427-8683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "030602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA3326",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "037720600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007600550014",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "HO634394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carbon County Nursing Home & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Billig
• Eliza Marie Busher, MS OTR/L
• Kaitlyn Cardone
• Natalie Sophia Carey
• Heidi Cohen
• Kaitlin Correale
• Donna Marie Cullen, PTA

• Skilled Nursing Facility in Weatherly, PA
• Providers in Weatherly, 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 Oct 8, 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.