Orchard Manor Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

410802 Issued in PA

Legal business name

ORCHARD MANOR INC

Practice address

20 Orchard Dr
Grove City, PA 16127-6328

Phone

(724) 458-7760

Fax

(724) 458-0588

NPI assigned

Jul 7, 2005

Last updated

Apr 30, 2008By 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

Diane E Robinson, NHA

Title

Administrator

Phone

(724) 458-7760

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1467459313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ORCHARD DR",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161276328",
            "telephone_number": "724-458-7760",
            "fax_number": "724-458-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ORCHARD DR",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161276328",
            "telephone_number": "724-458-7760",
            "fax_number": "724-458-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHARD MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-458-7760",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "410802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007509690002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole L Norris, PA
• Abigail Sheree Novotny, DPT
• Ann Marie O'Grady, LPC
• Mojibade K Odebode, MD
• Rachel Roberts Ogden, RPH, CGP
• Pain Relief and Wellness Strategies Center PC
• Taylor Mae Pander
• Karyn R Pardee, RPH
• Jennifer Lynn Parker, MA, LPC
• Anthony Robert Patterson, R.PH., BS PHARM, MBA

• Skilled Nursing Facility in Grove City, PA
• Providers in Grove City, 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 30, 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.