Perry Village Facility Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PERRY VILLAGE FACILITY OPERATIONS, LLC

Doing business as

The Manor at Perry Village

Practice address

213 E Main St
New Bloomfield, PA 17068-9657

Phone

(717) 582-4346

Fax

(717) 582-8447

NPI assigned

Jul 27, 2006

Last updated

Feb 8, 2017By 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

Suzette C. Brandt

Title

Executive Director

Phone

(717) 582-4346

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Manor at Perry Village Doing business as

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1255345302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E MAIN ST",
            "city": "NEW BLOOMFIELD",
            "state": "PA",
            "postal_code": "170689657",
            "telephone_number": "717-582-4346",
            "fax_number": "717-582-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E MAIN ST",
            "city": "NEW BLOOMFIELD",
            "state": "PA",
            "postal_code": "170689657",
            "telephone_number": "717-582-4346",
            "fax_number": "717-582-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY VILLAGE FACILITY OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-582-4346"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018123700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor at Perry Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Op New Bloomfield, LLC (The Manor at Perry Village)
• Jennifer Parry
• Perry County Area Agency on Aging
• Perry Human Services
• Perry Pediatrics, P.C.
• Premier at Perry Village for Nursing and Rehabilitation LLC
• Kinsey Lynn Robinson
• Tammy Lynne Rumbaugh, LPC
• Andrew David Ryan
• Safe Haven Quality Care LLC

• Skilled Nursing Facility in New Bloomfield, PA
• Providers in New Bloomfield, 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 Feb 8, 2017; 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.