Park Avenue Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARK AVENUE REHAB CENTER LLC

Practice address

14714 Park Avenue Ext
Meadville, PA 16335-9400

Phone

(814) 337-4228

NPI assigned

Dec 1, 2016

Organization subpart

No

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

Authorized official

Name

Terri Sherman

Title

Coo

Phone

(908) 315-3400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1639612120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BIRCHWOOD AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14714 PARK AVENUE EXT",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163359400",
            "telephone_number": "814-337-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-315-3400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy J Paczkoskie, MD
• Vincent J Paczkoskie, M. D.
• Sharon Palotas, CRNP
• Andrea Papsun
• Constantin Parizianu, M.D.
• Park Avenue Rehabilitation & Healthcare Center LLC
• Malia Renee Park, RN
• Emma Lizabeth Parker, PHARMD, RPH
• Morgan Sotera Parker
• Parkside Psychological Associates

• Skilled Nursing Facility in Meadville, PA
• Providers in Meadville, 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 1, 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.