Chariot Ebensburg Alf Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHARIOT EBENSBURG ALF OPCO LLC

Doing business as

Amber Hills

Practice address

429 Manor Dr
Ebensburg, PA 15931-4917

Phone

(814) 472-8100

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Shana K Mark, MBA

Title

Dir Provider Contracting

Phone

(814) 277-4500

Specialties & licenses 1

Addresses

Other names 1

• Amber Hills Doing business as

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1457024275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 WALKER DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017097",
            "telephone_number": "814-277-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MANOR DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314917",
            "telephone_number": "814-472-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIOT EBENSBURG ALF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIR PROVIDER CONTRACTING",
        "authorized_official_telephone_number": "814-277-4500",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amber Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph M Cavalier, DMD, MDS
• Suzanne Cavanaugh, PT
• Central Cambria School District
• James Gregory Cesarz, OTA
• Amy Chakot
• Chariot Ebensburg SNF Opco LLC
• Robert Stephen Chippie Jr., CRNP
• Brad Ciccolella, PT, MPT, OCS
• CJT Counseling PC
• Caitlyn Claar

• Assisted Living Facility in Ebensburg, PA
• Providers in Ebensburg, 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 Jul 28, 2021; 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.