Guardian Elder Care at Laporte LLC
Organization Active NPI Skilled Nursing Facility · Laporte, PA
NPI 1366490864 · NPPES record last updated May 18, 2023
Key facts
- NPI
- 1366490864
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- GUARDIAN ELDER CARE AT LAPORTE LLC
- Practice address
- 918 Main St
Laporte, PA 18626 - Phone
- (570) 946-7700
- NPI assigned
- May 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Armando Fortunato
- Title
- Cfo
- Phone
- (814) 265-1164
Practitioners 1
-
Kasey Mastellar, PT, DPT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
918 Main St
Laporte, PA 18626
Mailing address
8796 Route 219
Brockway, PA 15824-6010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001795651-0001 | Medicaid | PA |
Other names
- Highlands Healthcare and Rehabilitation Center
Other providers in Laporte, PA
- Concern-Professional Services for Children, Youth & Families
- Concern-Professional Services for Children, Youth & Families
- Concern-Professional Services for Children, Youth & Families
- Luanne Cusatis
- Bethany Suzanne Genevro
- Highlands Rehabilitation and Healthcare LLC
- Andrea Lynn Jensen
- Laporte Borough Volunteer Fire Comp
- Eric Warren Longenbach
- Kasey Mastellar
All providers in Laporte, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.