Active NPI
Graysonview Harrisburg
- Assisted Living Facility
- Harrisburg, PA
National Provider Identifier
1720122252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 313511
- Legal business name
- GRAYSONVIEW HARRISBURG
- Practice address
- 150 Kempton Ave
Harrisburg, PA 17111-3543 - Phone
- (717) 558-7771
- Fax
- (503) 485-1495
- NPI assigned
- Feb 17, 2007
- 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
- Mr. Jon Harder
- Title
- Ceo President
- Phone
- (503) 486-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 313511 | PA | Primary |
Addresses
Primary practice location
150 Kempton Ave
Harrisburg, PA 17111-3543
Mailing address
PO Box 3006
Salem, OR 97302-0006
Phone (503) 485-4600
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720122252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3006",
"city": "SALEM",
"state": "OR",
"postal_code": "973020006",
"telephone_number": "503-485-4600",
"fax_number": "503-485-1495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 KEMPTON AVE",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171113543",
"telephone_number": "717-558-7771",
"fax_number": "503-485-1495"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRAYSONVIEW HARRISBURG",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARDER",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "CEO PRESIDENT",
"authorized_official_telephone_number": "503-486-4600",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "PA",
"license": "313511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.