Villa St Joseph of Baden Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

069302 Issued in PA

Legal business name

VILLA ST JOSEPH OF BADEN INC

Practice address

1030 State Street
Baden, PA 15005-1338

Phone

(724) 869-6300

Fax

(724) 869-6399

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Mary M Murray, NHA, MPH

Title

Administrator

Phone

(724) 869-6310

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1275536476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 STATE STREET",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150051338",
            "telephone_number": "724-869-6300",
            "fax_number": "724-869-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 STATE STREET",
            "city": "BADEN",
            "state": "PA",
            "postal_code": "150051338",
            "telephone_number": "724-869-6300",
            "fax_number": "724-869-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA ST JOSEPH OF BADEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-869-6310",
        "authorized_official_credential": "NHA, MPH"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "069302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016442270002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Baden, PA
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.