Active NPI
Chestnut Hill Rehabilitation and Healthcare Center LLC
- Skilled Nursing Facility
- Wilkes Barre, PA
National Provider Identifier
1508701806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CHESTNUT HILL REHABILITATION AND HEALTHCARE CENTER LLC
- Practice address
- 1555 E End Blvd
Wilkes Barre, PA 18711-0576 - Phone
- (570) 826-1011
- NPI assigned
- Apr 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shai Berdugo
- Title
- Manager/Ralley 2 LLC
- Phone
- (732) 730-7360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1555 E End Blvd
Wilkes Barre, PA 18711-0576
Mailing address
229 Route 70 Ste 70
Toms River, NJ 08755-1026
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776816000000",
"number": "1508701806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 ROUTE 70 STE 70",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087551026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 E END BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187110576",
"telephone_number": "570-826-1011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTNUT HILL REHABILITATION AND HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A",
"authorized_official_last_name": "BERDUGO",
"authorized_official_first_name": "SHAI",
"authorized_official_title_or_position": "MANAGER/RALLEY 2 LLC",
"authorized_official_telephone_number": "732-730-7360"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre, PA
- Amber Garofalo Cheesman, DO
- Anna Kyu-K Khaing Chen, M.D
- Caroline Chen
- Jessica Chen, PA-C
- Sreehari Cherukuri, M.D.
- Children'S Service Center of Wyoming Valley
- Children'S Service Center of Wyoming Valley Inc
- Children'S Service Center of Wyoming Valley Inc
- Children'S Service Center of Wyoming Valley Inc
- Children'S Service Center of Wyoming Valley Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.