Organization Active NPI

Cumberland County

  • Skilled Nursing Facility
  • Carlisle, PA
National Provider Identifier
1336143023
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
037602 Issued in PA
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1000073090009MedicaidPA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.