Organization Active NPI

The Meadows at East Mountain-Barre for Nursing and Rehabilitation LLC

  • Skilled Nursing Facility
  • Wilkes Barre, PA
National Provider Identifier
1669914255
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THE MEADOWS AT EAST MOUNTAIN-BARRE FOR NURSING AND REHABILITATION LLC
Doing business as
The Gardens at East Mountain
Practice address
101 E Mountain Blvd
Wilkes Barre, PA 18702-7911
Phone
(570) 825-5894
NPI assigned
Nov 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Akiva Glatzer
Title
Member
Phone
(516) 505-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

101 E Mountain Blvd
Wilkes Barre, PA 18702-7911

Mailing address

99 W Hawthorne Ave
Valley Stream, NY 11580-6163

Other names 1

  • The Gardens at East Mountain Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0870659Meadows at East Mountain-Barre, the101 East Mountain Drive, Wilkes Barre, PA 18702Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1669914255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 W HAWTHORNE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115806163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MOUNTAIN BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187027911",
            "telephone_number": "570-825-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEADOWS AT EAST MOUNTAIN-BARRE FOR NURSING AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "GLATZER",
        "authorized_official_first_name": "AKIVA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-505-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Gardens at East Mountain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.