Rest Haven Nursing Center Whitemarsh Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

183202 Issued in PA

Legal business name

REST HAVEN NURSING CENTER WHITEMARSH INC

Doing business as

Andorra Woods Healthcare Center

Practice address

9209 Ridge Pike
Whitemarsh, PA 19128-1802

Phone

(610) 825-6560

Fax

(610) 941-9524

NPI assigned

Dec 23, 2005

Last updated

Jul 16, 2014By 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. Brian Reynolds

Title

Ceo

Phone

(410) 513-8738

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andorra Woods Healthcare Center Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Pharmacy Corporation of America

  dba PharMerica

  • Long Term Care Pharmacy
  • West Henrietta, NY
  • NPI 1407395270

  Member Of

  NPD member
• Pharmerica Long-Term Care LLC

  dba Pharmerica

  • Long Term Care Pharmacy
  • Great Falls, MT
  • NPI 1811920499

  Member Of

  NPD member

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1255318960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 RIDGE PIKE",
            "city": "WHITEMARSH",
            "state": "PA",
            "postal_code": "19128",
            "telephone_number": "610-825-6560",
            "fax_number": "610-941-9524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 RIDGE PIKE",
            "city": "WHITEMARSH",
            "state": "PA",
            "postal_code": "191281802",
            "telephone_number": "610-825-6560",
            "fax_number": "610-941-9524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST HAVEN NURSING CENTER WHITEMARSH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-513-8738",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "183202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007749810004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andorra Woods Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.