Northumberland County Mountain View Manor Nursing & Rehab Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

390302 Issued in PA

Legal business name

NORTHUMBERLAND COUNTY MOUNTAIN VIEW MANOR NURSING & REHAB CENTER

Practice address

2050 Trevorton Rd
Coal Township, PA 17866-9405

Phone

(570) 644-4400

Fax

(570) 644-4403

NPI assigned

Sep 16, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Mary Ann M Chaklos, NURSING HOME ADMINIS

Title

Administrator

Phone

(570) 644-4406

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Mountain View Manor Other name

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1447245337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 TREVORTON RD",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669405",
            "telephone_number": "570-644-4400",
            "fax_number": "570-644-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 TREVORTON RD",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178669405",
            "telephone_number": "570-644-4400",
            "fax_number": "570-644-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHUMBERLAND COUNTY MOUNTAIN VIEW MANOR NURSING & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "CHAKLOS",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-644-4406",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NURSING HOME ADMINIS"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "390302",
            "primary": true
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007378070003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain View Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mobile Anesthesia, PC
• Modest Home Care LLC
• Lori M Moran, PA-C
• Mountain View Nursing, LP (Mountain View, A Nursing and Rehabilitation Center)
• Mountain View SNF Operations LLC (Trevorton Nursing and Rehabilitation Center)
• Francis T Oneill Jr., RPH
• Bidhan Raj Paudel, MD
• Marianne Peipher, CRNP
• Primary Health Network
• Patrick D Pugliese, M.D.

• Skilled Nursing Facility in Coal Township, PA
• Providers in Coal Township, 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 Apr 20, 2010; 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.