Pennwood Operator LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

016002 Issued in PA

Legal business name

PENNWOOD OPERATOR LP

Practice address

909 West St
Pittsburgh, PA 15221-2833

Phone

(412) 723-3662

Fax

(412) 723-3666

NPI assigned

Apr 28, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Stacey Paul Rogers

Title

Chief Financial Officer

Phone

(502) 429-8062

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Village at Pennwood Doing business as

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1306137088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 NEW LA GRANGE RD",
            "address_2": "SUITE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224870",
            "telephone_number": "502-429-8062",
            "fax_number": "502-429-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 WEST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152212833",
            "telephone_number": "412-723-3662",
            "fax_number": "412-723-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNWOOD OPERATOR LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "502-429-8062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "016002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026079820001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village at Pennwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pennsylvania Organization of Women in Early Recovery
• Pennsylvania Speech and Swallow Therapy
• Pennsylvania Trinity Hospice
• Pennwood Nursing and Rehabilitation Center LLC
• Pennwood Operating LLC
• Eugene G Penrod, RPH
• Louis Edmund Penrod, MD
• Brandon Mackenzie Penrose, B.S
• Jennifer R. Penrose, CRNP
• Migdalia Pensado Alvarenga

• Skilled Nursing Facility in Pittsburgh, PA
• Providers in Pittsburgh, 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 Dec 30, 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.