NPIMap

Organization Active NPI

Allied Services Institute of Rehabilitation Medicine

Doing business as Allied Services Rehabilitation Hospital

  • Rehabilitation Hospital
  • Scranton, PA
National Provider Identifier
1316944184
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
016901 Issued in PA
Legal business name
ALLIED SERVICES INSTITUTE OF REHABILITATION MEDICINE
Doing business as
Allied Services Rehabilitation Hospital
Practice address
475 Morgan Hwy
Scranton, PA 18508-2605
Phone
(570) 348-1300
Fax
(570) 341-4551
NPI assigned
Jul 7, 2005
Last updated
Feb 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Mr. William Conaboy
Title
Predident
Phone
(570) 348-1458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 016901 PA Primary

Addresses

Primary practice location

475 Morgan Hwy
Scranton, PA 18508-2605

Mailing address

100 Abington Executive Park
Clarks Summit, PA 18411-2258
Phone (570) 348-1364

Other identifiers 2

IdentifierTypeStateIssuer
100000291MedicaidPA
001166334MedicaidPA

Other names 1

  • Allied Services Rehabilitation Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031121000095 PA Part B Supplier - Clinic/Group Practice 0941104004 Receives reassigned benefits from 3 practitioners
Practice locations: Scranton, PA
O20050311000475 PA Part A Provider - Hospital 0941104004 Practice locations: Covington Township, PA; Dunmore, PA; Scranton, PA; Taylor, PA; Carbondale, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316944184. Details of each certification follow.

Hospital certification: CCN 393030

Legal name
ALLIED SERVICES INSTITUTE OF REHABILITATION MEDICINE
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jul 1, 1984
Last certification
Apr 1, 2024
Beds
50
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 1, 1965 in PA
Enrollment address
475 Morgan Hwy
Allied Rehab Hospital
Scranton, PA 18508-2605
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Allied Services Institute of RehabilitationCCN 393030 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1984
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

475 Morgan Hwy
Ste A
Scranton, PA 18508
Phone (570) 341-4678

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kenneth J Krogulski Individual Corporate DirectorDirector Jan 1, 2012
Karen S Kearney Individual Corporate OfficerVice President Rehab Services Jan 1, 2014
W-2 Managing EmployeeVice President of Rehab Services Jan 1, 2014 50%
Allied Services Institute of Rehabilitation Medicine Organization, Scranton, PA Corporation Operational/Managerial Control Jun 1, 1984 100%
Allied Health Care Services Organization, Clarks Summit, PA Non-profit Operational/Managerial Control Sep 1, 2004 100%
Gerald B Franceski Individual Corporate DirectorDirector Jan 1, 2012
William W Scranton Individual Corporate DirectorDirector Jan 1, 2012
Louis Denaples Individual Corporate DirectorDirector Jan 1, 2012
Christina Mueller Individual Corporate DirectorDirector Jan 1, 2020 10%
William P Conaboy Individual Corporate Director Mar 11, 2005
Sherry Davidowitz Individual Corporate DirectorBoard Member Jan 1, 2021 10%
Jill Murray Individual Corporate DirectorDirector Jan 1, 2020 10%
Michael E Avvisato Individual Corporate OfficerSr.Vice President/Cfo Nov 1, 2000
Jay Brislin Individual Corporate DirectorBoard Member Jan 1, 2021 10%
Thomas J Melone Individual Corporate DirectorBoard Member Jan 1, 2021 10%
Douglas Boyle Individual Corporate DirectorDirector Jan 1, 2012
Richard L Weinberger Individual Corporate DirectorDirector Jan 1, 2019 10%
Allied Services Foundation Organization, Clarks Summit, PA Non-profit Operational/Managerial Control Sep 1, 2004 100%
Sandra M Krokos Individual Corporate DirectorBoard Member Jan 1, 2021 10%

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Allied Services Transitional Rehabilitation UnitScranton, PA, CCN 396135 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 126

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 126

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1316944184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ABINGTON EXECUTIVE PARK",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112258",
            "telephone_number": "570-348-1364",
            "fax_number": "570-341-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 MORGAN HWY",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082605",
            "telephone_number": "570-348-1300",
            "fax_number": "570-341-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED SERVICES INSTITUTE OF REHABILITATION MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "CONABOY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PREDIDENT",
        "authorized_official_telephone_number": "570-348-1458",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "PA",
            "license": "016901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000291",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001166334",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Services Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.