Christina Marie Callahan
Individual provider Active NPI Nursing Home Administrator · Woolrich, PA
NPI 1477296754 · NPPES record last updated Apr 15, 2022
Key facts
- NPI
- 1477296754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nursing Home Administrator 376G00000X
- License
- 227120 (PA)
- Practice address
- 46 Elementary Lane
Woolrich, PA 17779-1777 - Phone
- (570) 769-6207
- Fax
- (570) 769-6345
- NPI assigned
- Apr 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227120 | PA | MD | Nursing Home Administrator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Adult Day Program Dba Emmucare #1 | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator |
376G00000X | 227120 | PA | Yes |
Addresses
Primary practice location
46 Elementary Lane
Woolrich, PA 17779-1777
Mailing address
PO Box 210
46 Elementary Lane
Woolrich, PA 17779-0210
Phone (570) 769-6207
Other providers in Woolrich, PA
All providers in Woolrich, PA · Nursing Home Administrator in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.