Manor Care-Linden Village of Lebanon PA LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

303300 Issued in PA

Legal business name

MANOR CARE-LINDEN VILLAGE OF LEBANON PA LLC

Doing business as

Linden Village ManorCare Health Services

Practice address

100 Tuck St
Lebanon, PA 17042-7494

Phone

(717) 274-7400

Fax

(717) 274-8800

NPI assigned

May 25, 2006

Last updated

May 9, 2017By 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

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5743

Specialties & licenses 1

Addresses

Other names 1

• Linden Village ManorCare Health Services Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1396791224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TUCK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427494",
            "telephone_number": "717-274-7400",
            "fax_number": "717-274-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE-LINDEN VILLAGE OF LEBANON PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5743",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "303300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linden Village ManorCare Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Hope Mandeville-Palm, MSW, LCSW
• Ma. Dennica Lee Trivino Mandigma, MD
• Hanisha Rajlakshmi Manickavasagan, M.D.
• Michelle Joan Manjerovic, PTA
• Manor Care of Lebanon PA, LLC (ProMedica Skilled Nursing and Rehabilitation (Lebanon))
• Annalisa Manuel
• Teresa Maran-Trimmer, CRNP
• Nair M Maranhao, PA-C
• Justin Nicholas Marella, LSW
• Eric Lee Margut, RPH

• Assisted Living Facility in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.