Maybrook-C Whitecliff Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAYBROOK-C WHITECLIFF OPCO LLC

Practice address

110 Fredonia Road
Greenville, PA 16125-7911

Phone

(724) 588-8090

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Ronald S. Jordan

Title

Administrator

Phone

(724) 588-8090

Specialties & licenses 1

Addresses

Other names 1

• The Grove at Greenville Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Gerard Thimons, D.O.

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1194729996
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1710348305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FREDONIA ROAD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161257911",
            "telephone_number": "724-588-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FREDONIA ROAD",
            "city": "GREENVILLE",
            "state": "PA",
            "postal_code": "161257911",
            "telephone_number": "724-588-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYBROOK-C WHITECLIFF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-588-8090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove at Greenville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Grove at Greenville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Christopher Manganello, DMD
• Mariam Home Care Agency LLC
• Frank Marrapese, P.T.
• Diane E Marrie, CRNA
• Jeremy James Mashburn, D.O.
• McConnell Specific Chiropractic
• McConnell Specific Chiropractic Inc
• Brent McConnell, D.C.
• Lynne McCrillis, DO
• David L McFadden, M.D.

• Skilled Nursing Facility in Greenville, PA
• Providers in Greenville, 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 Apr 25, 2019; 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.