Maybrook-C Silver Oaks Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAYBROOK-C SILVER OAKS OPCO, LLC

Doing business as

The Grove at New Castle

Practice address

715 Harbor St
New Castle, PA 16101-2011

Phone

(724) 652-3863

NPI assigned

Mar 10, 2016

Last updated

May 8, 2019By 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

Ms. Michelle Kunselman

Title

Administrator

Phone

(724) 652-3863

Specialties & licenses 1

Addresses

Other names 1

• The Grove at New Castle Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Larimer Gardner III, MD

  • Family Medicine Physician
  • New Wilmington, PA
  • NPI 1194766162
  NPD (past)
• David Gerard Thimons, D.O.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1194729996
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1285095869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HARBOR STREET",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "16101",
            "telephone_number": "724-652-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HARBOR ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161012011",
            "telephone_number": "724-652-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBROOK-C SILVER OAKS OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "KUNSELMAN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-652-3863",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove at New Castle",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Grove at New Castle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Ayad Matta, DO
• Lisa Ann Matteo, LSW
• Lacey Bridget Maude, CRNP
• Samantha Jo Maxwell, LSW
• Tammy Lynn Maxwell, PT
• Morina Mazzanti, PA-C
• Michele Ann McClelland, LPC
• Diana McClure, LCSW
• Lori McCollums, LPN
• Michael Cooper McCormick, D.D.S

• Skilled Nursing Facility in New Castle, PA
• Providers in New Castle, 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 May 8, 2019; 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.