Active NPI
Henry Clay Villa LP
- Skilled Nursing Facility
- Markleysburg, PA
National Provider Identifier
1407054489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 060602
- Legal business name
- HENRY CLAY VILLA LP
- Practice address
- 5253 National Pike
Markleysburg, PA 15459 - Phone
- (724) 329-5545
- Fax
- (724) 329-1116
- NPI assigned
- Jul 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven D Tack, NHA
- Title
- Ceo
- Phone
- (724) 431-0770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 060602 | PA | Primary |
Addresses
Primary practice location
5253 National Pike
Markleysburg, PA 15459
Mailing address
5253 National Pike
Markleysburg, PA 15459
Phone (724) 329-5545
Other names 1
- Henry Clay Villa
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407974400000",
"number": "1407054489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5253 NATIONAL PIKE",
"city": "MARKLEYSBURG",
"state": "PA",
"postal_code": "15459",
"telephone_number": "724-329-5545",
"fax_number": "724-329-1116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5253 NATIONAL PIKE",
"city": "MARKLEYSBURG",
"state": "PA",
"postal_code": "15459",
"telephone_number": "724-329-5545",
"fax_number": "724-329-1116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HENRY CLAY VILLA LP",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2014-08-14",
"status": "A",
"authorized_official_last_name": "TACK",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "724-431-0770",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "060602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Henry Clay Villa",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Markleysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.