Chariot Ebensburg SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHARIOT EBENSBURG SNF OPCO LLC

Doing business as

Cambria Nursing & Rehabilitation Center

Practice address

429 Manor Dr
Ebensburg, PA 15931-4917

Phone

(814) 472-8100

NPI assigned

Jul 27, 2021

Organization subpart

No

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

Authorized official

Name

Shana K Mark, MBA

Title

Dir of Provider Contracts

Phone

(814) 277-4500

Specialties & licenses 1

Addresses

Other names 1

• Cambria Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1316610264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 WALKER DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017097",
            "telephone_number": "814-277-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MANOR DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314917",
            "telephone_number": "814-472-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIOT EBENSBURG SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIR OF PROVIDER CONTRACTS",
        "authorized_official_telephone_number": "814-277-4500",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambria Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne Cavanaugh, PT
• Central Cambria School District
• James Gregory Cesarz, OTA
• Amy Chakot
• Chariot Ebensburg Alf Opco LLC
• Robert Stephen Chippie Jr., CRNP
• Brad Ciccolella, PT, MPT, OCS
• CJT Counseling PC
• Caitlyn Claar
• Jeanne Rene Clark, RN

• Skilled Nursing Facility in Ebensburg, PA
• Providers in Ebensburg, 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 Jul 27, 2021; 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.