Thi of Pennsylvania at Greenery of Canonsburg LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

135602 Issued in PA

Legal business name

THI OF PENNSYLVANIA AT GREENERY OF CANONSBURG LLC

Practice address

2200 Hill Church Houston Rd
Canonsburg, PA 15317-1454

Phone

(724) 745-8000

Fax

(724) 745-3245

NPI assigned

Oct 3, 2005

Organization subpart

No

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

Authorized official

Name

Andrew Leroy

Title

Administrator

Phone

(724) 745-8000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenery Specialty Care Center of Canonsburg Doing business as

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1316934680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 HILL CHURCH HOUSTON RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153171454",
            "telephone_number": "724-745-8000",
            "fax_number": "724-745-3245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF PENNSYLVANIA AT GREENERY OF CANONSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "LEROY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-745-8000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "135602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019578760001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenery Specialty Care Center of Canonsburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasneem a Z Syed MD PC
• David D Tennent III
• Paula Jean Thalman, LPC
• The Orthopedic Wellness Center of Pittsburgh PLLC
• The Washington Physician Hospital Organization, Inc.
• Hannah Thibodeau, PSYD
• Amber Thomas
• Aundrea Denise Thomas
• Laurel Thompson, OTD, OTR/L
• Austin Tocco, OD

• Skilled Nursing Facility in Canonsburg, PA
• Providers in Canonsburg, 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 Jun 29, 2011; 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.