NPIMap

Organization Active NPI

Sundance Rehab Agency of PA

  • Nursing Facility/Intermediate Care Facility
  • Seven Fields, PA
National Provider Identifier
1417100975
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
012641L Issued in PA
Legal business name
SUNDANCE REHAB AGENCY OF PA
Practice address
200 Northpointe Cir Ste 302
Seven Fields, PA 16046-7861
Phone
(724) 779-6440
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Ms. Jane Mancu
Title
Billing Manager
Phone
(724) 779-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 012641L PA Primary

Addresses

Primary practice location

200 Northpointe Cir Ste 302
Seven Fields, PA 16046-7861

Mailing address

200 Northpointe Cir Ste 302
Seven Fields, PA 16046-7861
Phone (724) 779-6440

National Provider Directory

National Provider Directory
Tax ID family
Sundance Rehabilitation Agency LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1417100975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHPOINTE CIR STE 302",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467861",
            "telephone_number": "724-779-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTHPOINTE CIR STE 302",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160467861",
            "telephone_number": "724-779-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE REHAB AGENCY OF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MANCU",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "724-779-6440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "PA",
            "license": "012641L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.