Organization Active NPI

Marian Manor Corporation

  • Skilled Nursing Facility
  • Pittsburgh, PA
National Provider Identifier
1285622456
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
131002 Issued in PA
Legal business name
MARIAN MANOR CORPORATION
Practice address
2695 Winchester Drive
Pittsburgh, PA 15220-4099
Phone
(412) 440-4300
Fax
(412) 563-1250
NPI assigned
Oct 11, 2005
Last updated
Oct 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Susan Lewandowski, NHA
Title
VP of Clinical Services
Phone
(412) 440-4300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 131002 PA
Skilled Nursing Facility 314000000X 131002 PA Primary

Addresses

Primary practice location

2695 Winchester Drive
Pittsburgh, PA 15220-4099

Mailing address

2695 Winchester Drive
Pittsburgh, PA 15220-4099
Phone (412) 440-4300

Other identifiers 3

IdentifierTypeStateIssuer
0493OtherHIGHMARK
100191845MedicaidPA
305645OtherBLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1285622456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 WINCHESTER DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152204099",
            "telephone_number": "412-440-4300",
            "fax_number": "412-563-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 WINCHESTER DRIVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152204099",
            "telephone_number": "412-440-4300",
            "fax_number": "412-563-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN MANOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "LEWANDOWSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "VP OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "412-440-4300",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "131002",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "131002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "0493",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100191845",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "305645",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.