Active NPI
Arden Courts-Susquehanna of Harrisburg PA LLC
Doing business as Arden Courts of Susquehanna
- Assisted Living Facility
- Harrisburg, PA
National Provider Identifier
1548216856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 307390
- Legal business name
- ARDEN COURTS-SUSQUEHANNA OF HARRISBURG PA LLC
- Doing business as
- Arden Courts of Susquehanna
- Practice address
- 2625 Ailanthus LN
Harrisburg, PA 17110-3946 - Phone
- (717) 540-7018
- Fax
- (717) 540-7019
- NPI assigned
- May 26, 2006
- Last updated
- May 9, 2017
- 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
- Mr. Martin D Allen
- Title
- Director
- Phone
- (419) 252-5743
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 307390 | PA | Primary |
Addresses
Primary practice location
2625 Ailanthus LN
Harrisburg, PA 17110-3946
Mailing address
333 N Summit St
Toledo, OH 43604-2615
Phone (419) 252-5500
Other names 1
- Arden Courts of Susquehanna
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494288000000",
"number": "1548216856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436042615",
"telephone_number": "419-252-5500",
"fax_number": "877-385-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 AILANTHUS LN",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171103946",
"telephone_number": "717-540-7018",
"fax_number": "717-540-7019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARDEN COURTS-SUSQUEHANNA OF HARRISBURG PA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2017-05-09",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "419-252-5743",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "307390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Arden Courts of Susquehanna",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.