Meda Nipple Convalescent Home
Organization Active NPI Skilled Nursing Facility · Thompsontown, PA
NPI 1649267477 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1649267477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 131802 (PA)
- Legal business name
- MEDA NIPPLE CONVALESCENT HOME
- Practice address
- RR 1 Box 109
Thompsontown, PA 17094-9722 - Phone
- (717) 463-2632
- Fax
- (775) 255-4723
- NPI assigned
- Oct 6, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kathleen Tekla Nipple
- Title
- Assistant Administrator
- Phone
- (717) 463-2632
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 131802 | PA | Yes |
Addresses
Primary practice location
RR 1 Box 109
Thompsontown, PA 17094-9722
Mailing address
RR 1 Box 109
Thompsontown, PA 17094-9722
Phone (717) 463-2632
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007547340001 | Medicaid | PA |
Other providers in Thompsontown, PA
- Christian David Benner
- Cynthia Heister
- Premier Life Concepts
- Thompsontown Ambulance League
- Gabrielle Weyrich
- Linnea Wirth, Wirth
All providers in Thompsontown, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.