Organization Active NPI

Mountain View Nursing Home, Inc.

Doing business as Mountain View Care Center

  • Skilled Nursing Facility
  • Scranton, PA
National Provider Identifier
1528061785
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
053602 Issued in PA
Legal business name
MOUNTAIN VIEW NURSING HOME, INC.
Doing business as
Mountain View Care Center
Practice address
2309 Stafford Ave
Scranton, PA 18505-3686
Phone
(570) 341-0050
Fax
(570) 341-0051
NPI assigned
May 23, 2005
Last updated
Apr 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Mr. Robert Edward McQuillan
Title
Assoc Vice President
Phone
(570) 214-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 053602 PA Primary

Addresses

Primary practice location

2309 Stafford Ave
Scranton, PA 18505-3686

Mailing address

2309 Stafford Ave
Scranton, PA 18505-3686
Phone (570) 341-0050

Other identifiers 1

IdentifierTypeStateIssuer
0013905550001MedicaidPA

Other names 1

  • MOUNTAIN VIEW CARE CENTER Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1528061785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 STAFFORD AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053686",
            "telephone_number": "570-341-0050",
            "fax_number": "570-341-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 STAFFORD AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185053686",
            "telephone_number": "570-341-0050",
            "fax_number": "570-341-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "MCQUILLAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "ASSOC VICE PRESIDENT",
        "authorized_official_telephone_number": "570-214-9790",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "053602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013905550001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN VIEW CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.