Nugent Convalescent Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1407 Issued in PA

Legal business name

NUGENT CONVALESCENT HOME, INC

Practice address

500 Clarksville Rd
Hermitage, PA 16148-2954

Phone

(724) 981-6610

Fax

(724) 981-3224

NPI assigned

Jun 21, 2005

Last updated

Jan 29, 2009By 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. Robert S Freed

Title

Administrator

Phone

(724) 981-6610

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1417953837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CLARKSVILLE ROAD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "16148",
            "telephone_number": "724-981-6610",
            "fax_number": "724-981-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CLARKSVILLE RD",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482954",
            "telephone_number": "724-981-6610",
            "fax_number": "724-981-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUGENT CONVALESCENT HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-981-6610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "1407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "0645",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN PROVIDER",
            "identifier": "313583",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert S Noble, D.M.D.
• Northland Hearing Centers Inc (Trinity Hearing Aids)
• Joshua Norton
• Wally N Novero, MD
• Nuchoice Health Partners LLC
• Nugent Convalescent Home, Inc.
• Thomas M O Mahony, LICSW
• Jennifer Rose O'Hare
• Leah Renee O'Kresik
• Sheila Kaye O'Kresik, MA LPC

• Skilled Nursing Facility in Hermitage, PA
• Providers in Hermitage, 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 Jan 29, 2009; 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.