NPIMap

Organization Active NPI

Smnrc, LP

  • Skilled Nursing Facility
  • Shenandoah, PA
National Provider Identifier
1497757710
Registry record updated Sep 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
190102 Issued in PA
Legal business name
SMNRC, LP
Practice address
101 E Washington St
Shenandoah, PA 17976-1701
Phone
(570) 462-1908
Fax
(570) 462-1457
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2011

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

Authorized official

Name
David W Klingerman
Title
President
Phone
(570) 784-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 190102 PA Primary

Addresses

Primary practice location

101 E Washington St
Shenandoah, PA 17976-1701

Mailing address

101 E Washington St
Shenandoah, PA 17976-1701
Phone (570) 462-1908

Other names 1

  • SHENANDOAH MANOR NURSING CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Carmel Outpatient Rehab Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1497757710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E WASHINGTON ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761701",
            "telephone_number": "570-462-1908",
            "fax_number": "570-462-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E WASHINGTON ST",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761701",
            "telephone_number": "570-462-1908",
            "fax_number": "570-462-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMNRC, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "KLINGERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-784-0111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "190102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHENANDOAH MANOR NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.