Ellen Memorial Health Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

318502 Issued in PA

Legal business name

ELLEN MEMORIAL HEALTH CARE CENTER

Practice address

23 Ellen Memorial LN
Honesdale, PA 18431-4096

Phone

(570) 253-5690

Fax

(570) 253-9471

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert G Zabady

Title

Administrator

Phone

(570) 253-5690

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366446288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ELLEN MEMORIAL LN",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314096",
            "telephone_number": "570-253-5690",
            "fax_number": "570-253-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 ELLEN MEMORIAL LN",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184314096",
            "telephone_number": "570-253-5690",
            "fax_number": "570-253-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN MEMORIAL HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZABADY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-253-5690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "318502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007554460002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00560132",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew James Downey, MD
• Cynthia Marie Duffy, OTR
• Kevin Patrick Dunn, P.T.
• Francis Dzwieleski, OD
• Sarah Catherine Eibach, MSW
• Ellen Memorial Rehabilitation and Healthcare Center LLC
• Ellen Memorial, LLC (Ellen Memorial Health Care Center)
• Scott K. Epstein, M.D.
• Zenaida L Espino-Ostman, MD
• Kayla Esterline, PA-C

• Skilled Nursing Facility in Honesdale, PA
• Providers in Honesdale, 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 Aug 22, 2020; 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.