Organization Active NPI

Taylor Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Taylor, PA
National Provider Identifier
1396741922
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
201302 Issued in PA
Legal business name
TAYLOR NURSING AND REHABILITATION CENTER
Practice address
500 W Hospital St
Taylor, PA 18517-2012
Phone
(570) 562-2102
Fax
(570) 562-3108
NPI assigned
Jun 28, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lenore Myerchik
Title
Controller
Phone
(570) 562-2102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 201302 PA Primary

Addresses

Primary practice location

500 W Hospital St
Taylor, PA 18517-2012

Mailing address

500 W Hospital St
Taylor, PA 18517-2012
Phone (570) 562-2102

Other identifiers 1

IdentifierTypeStateIssuer
1001378040002MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396741922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W HOSPITAL ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185172012",
            "telephone_number": "570-562-2102",
            "fax_number": "570-562-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W HOSPITAL ST",
            "city": "TAYLOR",
            "state": "PA",
            "postal_code": "185172012",
            "telephone_number": "570-562-2102",
            "fax_number": "570-562-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR NURSING AND REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MYERCHIK",
        "authorized_official_first_name": "LENORE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "570-562-2102",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "201302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001378040002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, PA

Sources for this page

  • 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.