Manor Care of Elizabethtown PA LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

023202 Issued in PA

Legal business name

MANOR CARE OF ELIZABETHTOWN PA LLC

Practice address

320 S Market St
Elizabethtown, PA 17022-2422

Phone

(717) 367-1377

Fax

(717) 367-1290

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Martin D Allen

Title

Director

Phone

(419) 252-5743

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ManorCare Health Services - Elizabethtown Doing business as

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1700831070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436042615",
            "telephone_number": "419-252-5500",
            "fax_number": "877-385-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S MARKET ST",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170222422",
            "telephone_number": "717-367-1377",
            "fax_number": "717-367-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR CARE OF ELIZABETHTOWN PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5743",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "023202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020623280001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManorCare Health Services - Elizabethtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Ann Locke, MSCCC-SLP
• Sarah Anne Lombel, PA-C
• Natalie Lorraine Luciano
• Emily Lutz, MSW, LSW
• Sean Patrick Maclaughlin, DPT
• Haley Lynn Martin, PHARMD
• Lauren Ann Martin, DPT
• Zachary David Martin, PA-C
• Carolina Martinez
• Masonic Villages of the Grand Lodge of Pennsylvania

• Skilled Nursing Facility in Elizabethtown, PA
• Providers in Elizabethtown, 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 May 8, 2017; 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.