Organization Active NPI

Harlee Manor Inc.

  • Skilled Nursing Facility
  • Springfield, PA
National Provider Identifier
1629064472
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
080402 Issued in PA
Legal business name
HARLEE MANOR INC.
Practice address
463 W Sproul Rd
Springfield, PA 19064-2120
Phone
(610) 544-2200
Fax
(484) 573-1053
NPI assigned
Sep 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Mrs. Michelle Myra Russo, NHA
Title
Administrator
Phone
(610) 544-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 080402 PA Primary

Addresses

Primary practice location

463 W Sproul Rd
Springfield, PA 19064-2120

Mailing address

463 W Sproul Rd
Springfield, PA 19064-2120
Phone (610) 544-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1629064472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 W SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642120",
            "telephone_number": "610-544-2200",
            "fax_number": "484-573-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 W SPROUL RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642120",
            "telephone_number": "610-544-2200",
            "fax_number": "484-573-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARLEE MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "MYRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-544-2200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "080402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.