HCR Manor Care

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

OP006518 Issued in PA

Legal business name

HCR MANOR CARE

Practice address

836 Diamond St
Williamsport, PA 17701-4348

Phone

(570) 447-3154

NPI assigned

Oct 9, 2008

Organization subpart

No

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

Authorized official

Name

Erin L. Derr, COTA/L

Title

Occupational Therapy Assistant

Phone

(570) 320-0477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1295986073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 DIAMOND ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014348",
            "telephone_number": "570-447-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 DIAMOND ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014348",
            "telephone_number": "570-447-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HCR MANOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "DERR",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
        "authorized_official_telephone_number": "570-320-0477",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "PA",
            "license": "OP006518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey Edwin Hayden, MD
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• Barbara Ann Heere, MD

• Physical Disabilities Residential Treatment Facility in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Physical Disabilities Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.