Lancaster Leasing Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

012302 Issued in PA

Legal business name

LANCASTER LEASING PARTNERSHIP

Doing business as

Audubon Villa Nursing Home

Practice address

125 S Broad St
Lititz, PA 17543-1808

Phone

(717) 626-0211

Fax

(717) 626-4441

NPI assigned

Oct 10, 2005

Last updated

Sep 19, 2008By 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. Francis A Hayman Jr.

Title

President Lehigh Nursing Corp.

Phone

(610) 264-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Audubon Villa Nursing Home Doing business as

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1255329645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S BROAD ST",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431808",
            "telephone_number": "717-626-0211",
            "fax_number": "717-626-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S BROAD ST",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175431808",
            "telephone_number": "717-626-0211",
            "fax_number": "717-626-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER LEASING PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "HAYMAN",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT LEHIGH NURSING CORP.",
        "authorized_official_telephone_number": "610-264-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "012302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007507380004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audubon Villa Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Lititz, PA
• Providers in Lititz, 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 Sep 19, 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.