BCC Mid Valley Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

220180 Issued in PA

Legal business name

BCC MID VALLEY OPERATIONS, LLC

Doing business as

Elmcroft of Mid Valley

Practice address

89 Sturges Rd
Peckville, PA 18452-1302

Phone

(570) 383-9090

Fax

(570) 383-6665

NPI assigned

Oct 22, 2013

Last updated

Oct 22, 2013By 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

Ms. Robin L Barber, JD

Title

Vice President

Phone

(502) 753-6004

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Mid Valley Doing business as

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1649608050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6004",
            "fax_number": "502-753-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 STURGES RD",
            "city": "PECKVILLE",
            "state": "PA",
            "postal_code": "184521302",
            "telephone_number": "570-383-9090",
            "fax_number": "570-383-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCC MID VALLEY OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "220180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Mid Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Peckville, PA
• Providers in Peckville, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.