Northern Health Facilities, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NORTHERN HEALTH FACILITIES, INC.

Doing business as

Spruce Manor Nursing and Rehabilitation Center

Practice address

220 S 4TH Ave
West Reading, PA 19611-1350

Phone

(610) 374-5175

Fax

(610) 374-0426

NPI assigned

Nov 13, 2006

Last updated

Apr 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donna Jo Maassen

Title

Director of Compliance

Phone

(414) 908-8119

Specialties & licenses 1

Addresses

Other names 1

• Spruce Manor Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1568533123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W MICHIGAN ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032903",
            "telephone_number": "414-908-8119",
            "fax_number": "414-908-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S 4TH AVE",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111350",
            "telephone_number": "610-374-5175",
            "fax_number": "610-374-0426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HEALTH FACILITIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MAASSEN",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "414-908-8119"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spruce Manor Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Nobile
• Samuel Ross Noble, M.D
• Matthew M. Nolan, MD
• Robert Nordell
• Devon Renee Noroski, R.R.A, R.T.(R), BA
• Grant Eldridge Nugent, MD, PHARMD
• Ron D. Nutting, M.D.
• Elizabeth O'Connor
• Bernard J. O'Neill, M.D.
• Craig Alan O'Neill, M.D.

• Skilled Nursing Facility in West Reading, PA
• Providers in West Reading, 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 Apr 9, 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.