Active NPI
The Villa Assisted Living, LLC
- Assisted Living Facility
- Johnstown, PA
National Provider Identifier
1669776563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 328361
- Legal business name
- THE VILLA ASSISTED LIVING, LLC
- Practice address
- 322 Warren St
Suite 300
Johnstown, PA 15905-3443 - Phone
- (814) 288-1418
- Fax
- (814) 288-1525
- NPI assigned
- Jan 6, 2011
- Last updated
- Jan 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard M Kastelic, M.D.
- Title
- Member/Owner
- Phone
- (814) 254-4514
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 328361 | PA | Primary |
Addresses
Primary practice location
322 Warren St
Suite 300
Johnstown, PA 15905-3443
Mailing address
429 Napoleon PL
Johnstown, PA 15901-2504
Phone (814) 254-4514
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Johnstown, PA
- NPI 1548265986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1294272000000",
"number": "1669776563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 NAPOLEON PL",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159012504",
"telephone_number": "814-254-4514",
"fax_number": "814-254-4541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 WARREN ST",
"address_2": "SUITE 300",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159053443",
"telephone_number": "814-288-1418",
"fax_number": "814-288-1525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE VILLA ASSISTED LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-06",
"last_updated": "2011-01-06",
"status": "A",
"authorized_official_last_name": "KASTELIC",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEMBER/OWNER",
"authorized_official_telephone_number": "814-254-4514",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "328361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.