Williamsport North Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WILLIAMSPORT NORTH OPERATIONS LLC

Doing business as

Williamsport North Rehabilitation and Nursing Center

Practice address

300 Leader Dr
Williamsport, PA 17701-1943

Phone

(570) 323-8627

Fax

(570) 323-5820

NPI assigned

Mar 23, 2021

Last updated

Mar 23, 2021By 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

Jacob J Zahler

Title

Authorized Member

Phone

(845) 777-9955

Specialties & licenses 1

Addresses

Other names 1

• Williamsport North Rehabilitation and Nursing Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Andrew Eric Graf

  • Internal Medicine Physician
  • Plymouth Meeting, PA
  • NPI 1316108269
  NPD (past)

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1346826948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LEADER DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011943",
            "telephone_number": "570-323-8627",
            "fax_number": "570-323-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LEADER DR",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011943",
            "telephone_number": "570-323-8627",
            "fax_number": "570-323-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSPORT NORTH OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "ZAHLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "845-777-9955"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamsport North Rehabilitation and Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Williamsport Area Ambulance Service Cooperative (Susquehanna Regional EMS)
• Williamsport Area School District
• Williamsport Dental & Dentures, Inc
• Williamsport Family Medical Center, LLC
• Williamsport Home
• Williamsport North SNF Operations LLC
• Williamsport Obstetrics & Gynecology, P.C.
• Williamsport Orthopedic & Prosthetic Company Inc
• Williamsport Pathology Assocs.
• Williamsport Physical Medicine, Inc. (Neuropathy Center of NEPA)

• Skilled Nursing Facility in Williamsport, PA
• Providers in Williamsport, 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 Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.