Active NPI
Susque-View Home, Inc
- Skilled Nursing Facility
- Lock Haven, PA
National Provider Identifier
1255337523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 710802
- Legal business name
- SUSQUE-VIEW HOME, INC
- Practice address
- 22 Cree Dr
Lock Haven, PA 17745-2639 - Phone
- (570) 748-9377
- Fax
- (570) 748-8891
- NPI assigned
- Jun 22, 2005
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. C Franklin Helt, NHA
- Title
- Administrator
- Phone
- (570) 748-9377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 710802 | PA | Primary |
Addresses
Primary practice location
22 Cree Dr
Lock Haven, PA 17745-2639
Mailing address
22 Cree Dr
Lock Haven, PA 17745-2639
Phone (570) 748-9377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0949557 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255337523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 CREE DR",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177452639",
"telephone_number": "570-748-9377",
"fax_number": "570-748-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 CREE DR",
"city": "LOCK HAVEN",
"state": "PA",
"postal_code": "177452639",
"telephone_number": "570-748-9377",
"fax_number": "570-748-8891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSQUE-VIEW HOME, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HELT",
"authorized_official_first_name": "C",
"authorized_official_middle_name": "FRANKLIN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "570-748-9377",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "710802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0949557",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lock Haven, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.