Brookmont Healthcare Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BROOKMONT HEALTHCARE CENTER LLC

Practice address

510 Brookmont Drive
Effort, PA 18330-9534

Phone

(610) 681-4070

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Michael Eperesi

Title

Cfo

Phone

(814) 265-1164

Specialties & licenses 1

Addresses

Other identifiers 1

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

• Helene S Katz, PHD

  • Psychologist
  • Jim Thorpe, PA
  • NPI 1720178973
  NPD (past)
• Thomas Henry Neill, DO

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1952524191
  NPD (past)

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1720089261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8796 ROUTE 219",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158246010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BROOKMONT DRIVE",
            "city": "EFFORT",
            "state": "PA",
            "postal_code": "183309534",
            "telephone_number": "610-681-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKMONT HEALTHCARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "EPERESI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-265-1164"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001975918-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ileana Aledo, MSED, BCBA, LBS
• Jonathan R Anthony, OTR/L
• Apex Behavior Management LLC
• Breanna Billings, NCC
• Marykate Black
• Krista R Buchanan
• Cranford Group, LLC
• Diamond Healthcare at Brookmont LLC
• Ecd Connections
• Effort Pharmacy Inc

• All providers in Effort, PA
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.