Lackawanna Health Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LACKAWANNA HEALTH CARE CENTER LLC

Doing business as

Lackawanna Health and Rehab Center

Practice address

108 Terrace Dr
Olyphant, PA 18447-2503

Phone

(570) 489-8611

NPI assigned

Feb 16, 2010

Last updated

Feb 16, 2010By 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

Eli Strohli

Title

President

Phone

(305) 864-9191

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lackawanna Health and Rehab Center Doing business as

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1376865550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 TERRACE DR",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184472503",
            "telephone_number": "570-489-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 TERRACE DR",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "184472503",
            "telephone_number": "570-489-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKAWANNA HEALTH CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "STROHLI",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-864-9191"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "39-5414",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lackawanna Health and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JPV Sales Inc (Comfort Keepers #358)
• Marilynn C Ksiazek, MS RD CDE LDN
• Lackawanna Acquisition I, LLC
• Lackawanna County Employees (Lackawanna County Health Care Center)
• Lackawanna County Health Care Center
• Thomas G Majernick, DO
• Michael Allan Maritato
• Alphonse Matrone Jr., DMD
• Sarah Rebecca McKeown, PA-C
• Midvalley Chiropractic Clinic, P.C.

• Skilled Nursing Facility in Olyphant, PA
• Providers in Olyphant, 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 Feb 16, 2010; 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.