Envoy of Somerset, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

970202 Issued in PA

Legal business name

ENVOY OF SOMERSET, LLC

Doing business as

Siemon's Lakeview Manor Nursing and Rehabilitation Center

Practice address

228 Siemon Dr
Somerset, PA 15501-7055

Phone

(814) 443-2811

Fax

(814) 445-3210

NPI assigned

May 24, 2011

Organization subpart

No

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

Authorized official

Name

Kenneth Ussery

Title

VP

Phone

(407) 571-1550

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Siemon's Lakeview Manor Nursing and Rehabilitation Center Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1386937399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 SIEMON DR",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017055",
            "telephone_number": "814-443-2811",
            "fax_number": "814-445-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 SIEMON DR",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155017055",
            "telephone_number": "814-443-2811",
            "fax_number": "814-445-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVOY OF SOMERSET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-18",
        "status": "A",
        "authorized_official_last_name": "USSERY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "407-571-1550"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "970202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026044800001",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://65.196.137.118:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "urn:oid:2.16.840.1.113883.3.5042",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "800 Concourse Pkwy S Ste 200",
            "city": "Maitland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327516148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Siemon's Lakeview Manor Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Lavan Emerick, MS, LPC, NCC
• Karen Emert, OTA/L
• Mary Alice Emert, LCSW
• Emiliano L Limcuando MD PC
• Aimee S Enos, CRNP
• Jenna Epstein
• Megan Renee Ervin, M.ED
• Genevieve Lynn Everett-Sigwalt, M.D.
• Fabian Family Chiropractic Center LLC
• Robert P Fabian, D.C., B.S., C.C.E.P.

• Skilled Nursing Facility in Somerset, PA
• Providers in Somerset, 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 Nov 27, 2023; 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.