Lackawanna County Employees

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

134902 Issued in PA

Legal business name

LACKAWANNA COUNTY EMPLOYEES

Doing business as

Lackawanna County Health Care Center

Practice address

Sturges Road
Olyphant, PA 18447

Phone

(570) 489-8611

Fax

(570) 489-5349

NPI assigned

Sep 21, 2005

Last updated

Jun 25, 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

Mr. James Miller, LNHA

Title

Administrator

Phone

(570) 489-8611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lackawanna County Health Care Center Doing business as

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1477549855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STURGES ROAD",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "18447",
            "telephone_number": "570-489-8611",
            "fax_number": "570-489-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STURGES ROAD",
            "city": "OLYPHANT",
            "state": "PA",
            "postal_code": "18447",
            "telephone_number": "570-489-8611",
            "fax_number": "570-489-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKAWANNA COUNTY EMPLOYEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-489-8611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "134902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007571820003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lackawanna County Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Home Health Care Professionals, Inc.
• Home Health Care Professionals, Inc.
• JPV Sales Inc (Comfort Keepers #358)
• Marilynn C Ksiazek, MS RD CDE LDN
• Lackawanna Acquisition I, LLC
• Lackawanna County Health Care Center
• Lackawanna Health Care Center LLC (Lackawanna Health and Rehab Center)
• Thomas G Majernick, DO
• Michael Allan Maritato
• Alphonse Matrone Jr., DMD

• Skilled Nursing Facility in Olyphant, PA
• Providers in Olyphant, 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 Jun 25, 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.