Piney Partners LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

420102 Issued in PA

Legal business name

PINEY PARTNERS LP

Practice address

6375 Chambersburg Rd
Fayetteville, PA 17222-8350

Phone

(717) 352-2721

Fax

(717) 352-2142

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Larry Dean Cottle

Title

Ceo

Phone

(717) 352-2721

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Village of Laurel Run Doing business as

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1487760765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 CHAMBERSBURG RD",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172228350",
            "telephone_number": "717-352-2721",
            "fax_number": "717-352-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 CHAMBERSBURG RD",
            "city": "FAYETTEVILLE",
            "state": "PA",
            "postal_code": "172228350",
            "telephone_number": "717-352-2721",
            "fax_number": "717-352-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINEY PARTNERS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "COTTLE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-352-2721",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "420102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001805560-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village of Laurel Run",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Ogbefho
• Paul Douglas Orange, M.D.
• Paramount Health Holdings Group, Inc.
• Paramount Nursing and Rehabilitation at Fayetteville, LLC
• Passage Village of Laurel Run Operations, LLC
• Matthew Pollard, NCC, LPC
• Rite Aid of Pennsylvania LLC
• John Jospeh Rodriguez, P.T.A.
• Adam Patrick Rowland, M.S. CCC-SLP
• Meredith Jean Schellhase, PA-C

• Skilled Nursing Facility in Fayetteville, PA
• Providers in Fayetteville, 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 Jul 21, 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.