Maybrook-C Latrobe Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAYBROOK-C LATROBE OPCO, LLC

Doing business as

The Grove at Latrobe

Practice address

576 Fred Rogers Dr
Latrobe, PA 15650-3822

Phone

(724) 537-4441

NPI assigned

Dec 14, 2016

Last updated

May 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Steve Hausman

Title

Administrator

Phone

(724) 537-4441

Specialties & licenses 1

Addresses

Other names 1

• The Grove at Latrobe Doing business as

Locations

Practitioners 1

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.

• David Gerard Thimons, D.O.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1194729996
  NPD (past)

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557360000000",
    "number": "1346784022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 FRED ROGERS DRIVE",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "15650",
            "telephone_number": "724-537-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FRED ROGERS DR",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156503822",
            "telephone_number": "724-537-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBROOK-C LATROBE OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2019-05-09",
        "status": "A",
        "authorized_official_last_name": "HAUSMAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-537-4441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove at Latrobe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Grove at Latrobe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Magen Raye Mason, DO
• Taylor Matlas, DO
• Ted A Matthews Jr., MD
• Michele Lee Mattis, PSYD
• Beth A Maxwell, M.D.
• Johneen M. Mayercheck, COTA
• Shiela Otwane Mbae
• Alaina Maria McClarren, D.O.
• Leslie J McClarren, CRNA
• Justin Neil McCray, M.D.

• Skilled Nursing Facility in Latrobe, PA
• Providers in Latrobe, 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 May 9, 2019; 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.