Active NPI
Cumberland County
- Skilled Nursing Facility
- Carlisle, PA
National Provider Identifier
1336143023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 037602
- Legal business name
- CUMBERLAND COUNTY
- Practice address
- 1000 Claremont Rd
Carlisle, PA 17013-7310 - Phone
- (717) 243-2031
- Fax
- (717) 240-1952
- NPI assigned
- Jun 9, 2005
- Last updated
- Nov 18, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymond Soto
- Title
- Nursing Home Administrator
- Phone
- (732) 503-2913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 037602 | PA | Primary |
Addresses
Primary practice location
1000 Claremont Rd
Carlisle, PA 17013-7310
Mailing address
1 Court House SQ
RM 207
Carlisle, PA 17013-3323
Phone (717) 243-2031
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000073090009 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1 Court House Sq
Rm 207
Carlisle, PA 17013
1000 Claremont Rd
Carlisle, PA 17013
Phone (717) 241-1960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447804800000",
"number": "1336143023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 COURT HOUSE SQ",
"address_2": "RM 207",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133323",
"telephone_number": "717-243-2031",
"fax_number": "717-240-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CLAREMONT RD",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170137310",
"telephone_number": "717-243-2031",
"fax_number": "717-240-1952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-09",
"last_updated": "2015-11-18",
"status": "A",
"authorized_official_last_name": "SOTO",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "732-503-2913"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "037602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000073090009",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, PA
- Winifred Crum, COTA
- Lori Ann Csensits, PT
- Corinna S Culler, RDH, DRPH
- Dayna E. Culver
- Melaney Culver
- Cumberland Goodwill Fire Rescue EMS Inc
- Cumberland Pathology Associates, LLC
- Cumberland Valley Chiropractic & Wellness LLC
- Cumberland Valley Counseling Associates PC
- Cumberland Valley Endocrinology Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.