Maybrook-P Butler Valley Opco, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAYBROOK-P BUTLER VALLEY OPCO, LLC

Doing business as

The Gardens at Butler

Practice address

463 N Hunter Hwy
Drums, PA 18222-2129

Phone

(570) 788-4175

NPI assigned

Mar 10, 2016

Last updated

Dec 12, 2016By 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

Ephram M Lahasky

Title

Member

Phone

(646) 772-3668

Specialties & licenses 1

Addresses

Other names 1

• The Gardens at Butler Doing business as

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1619338266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LORD AVE",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591324",
            "telephone_number": "646-772-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 N HUNTER HWY",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "182222129",
            "telephone_number": "570-788-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBROOK-P BUTLER VALLEY OPCO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-772-3668"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gardens at Butler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Locke, M.S., CCC-SLP
• Loretta McNeal CRNP, Family Medicine PLLC
• Luzerne Rehabilitation & Nursing LLC (Kadima Rehabilitation & Nursing at Luzerne)
• James Joseph Macoviak, DDS
• Debra Morey Manning, LCSW
• Loretta Lee McNeal, CRNP
• Lisa Medvetz, LCSW
• Casey Miller
• Mistal Deborah J DO PC
• Deborah J. Mistal, DO

• Skilled Nursing Facility in Drums, PA
• Providers in Drums, 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 Dec 12, 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.