Milford Valley Convalescent Home Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MILFORD VALLEY CONVALESCENT HOME INC

Doing business as

Milford Healthcare and Rehabilitation Center

Practice address

264 Route 6 & 209
Milford, PA 18337-9328

Phone

(570) 491-4121

Fax

(570) 491-5246

NPI assigned

Jun 6, 2006

Last updated

Aug 21, 2020By 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

Michael Eperesi

Title

Cfo

Phone

(814) 265-1164

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Milford Healthcare and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1669411385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8796 ROUTE 219",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158246010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 ROUTE 6 & 209",
            "city": "MILFORD",
            "state": "PA",
            "postal_code": "183379328",
            "telephone_number": "570-491-4121",
            "fax_number": "570-491-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD VALLEY CONVALESCENT HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "EPERESI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-265-1164"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103065208-0005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milford Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Milford Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Milford Internal Medicine Associates PC
• Milford Medical LLC
• Milford Nursing and Rehabilitation LLC (Milford Healthcare and Rehabilitation Center)
• Milford Rehabilitation and Healthcare Center LLC
• Milford Urgent Care Associates PLLC
• Nicole Elizabeth Molino, LPC
• Timothy Moran
• Benjamin Muller, P.T., D.P.T.
• Gabriella Josephine Muller, DPT
• Dylan C. Nace

• Skilled Nursing Facility in Milford, PA
• Providers in Milford, 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 Aug 21, 2020; 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.