County of Cambria

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

030202 Issued in PA

Legal business name

COUNTY OF CAMBRIA

Doing business as

Laurel Crest Rehabilitation and Special Care Center

Practice address

429 Manor Dr
Ebensburg, PA 15931-4917

Phone

(814) 472-8100

Fax

(814) 471-2131

NPI assigned

Jun 10, 2005

Last updated

Jul 23, 2008By 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

Mrs. Nancy J. MC Mahon

Title

Asst. Financial Officer

Phone

(814) 472-8100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laurel Crest Rehabilitation and Special Care Center Doing business as

Tax ID family

Cambria County Bhidei4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Cambria County BH/Id/Ei

  • Community/Behavioral Health Agency
  • Johnstown, PA
  • NPI 1245695840
  NPD tax ID
• Cambria County Drug and Alcohol Program

  • Case Management Agency
  • Johnstown, PA
  • NPI 1366566457
  NPD tax ID
• Cambria County MHMR D&a Program

  • Neurology Physician
  • Johnstown, PA
  • NPI 1689797474
  NPD tax ID

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1669476313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 MANOR DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314917",
            "telephone_number": "814-472-8100",
            "fax_number": "814-471-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MANOR DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314917",
            "telephone_number": "814-472-8100",
            "fax_number": "814-471-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CAMBRIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "MC MAHON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ASST. FINANCIAL OFFICER",
        "authorized_official_telephone_number": "814-472-8100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "030202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007415500015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "0687",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Crest Rehabilitation and Special Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Eva Cope, RN
• Erica D Coppersmith, MSW
• Trista Liane Cory, BS
• Robert F Cosharek, MD
• Michelle R Costello, OTR/L
• David Michael Cronauer, D.C.
• Jodi Rae Cronauer, D.C.
• Nicole Lynn Crowell, M.ED.
• Cynthia Cunningham
• Trenten Curtis, PT, DPT

• Skilled Nursing Facility in Ebensburg, PA
• Providers in Ebensburg, 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 Jul 23, 2008; 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.