Al Lebanon Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

320380 Issued in PA

Legal business name

AL LEBANON OPERATIONS, LLC

Doing business as

Elmcroft of Lebanon

Practice address

860 Norman Dr
Lebanon, PA 17042-7499

Phone

(717) 228-0909

Fax

(717) 228-2719

NPI assigned

Oct 17, 2013

Last updated

Oct 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Robin L Barber, JD

Title

Vice President

Phone

(502) 753-6004

Specialties & licenses 1

Addresses

Other names 1

• ELMCROFT OF LEBANON Doing business as

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1720416399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6004",
            "fax_number": "502-753-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427499",
            "telephone_number": "717-228-0909",
            "fax_number": "717-228-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL LEBANON OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "320380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELMCROFT OF LEBANON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mahoussi Nicole Aholoukpe, M.D.
• Kamaljot Kaur Ahuja, MD
• Paul V Aitken, MD
• Karla Adele Akemann, MA, CRC
• Suad Akram
• Sarah Al-Obaydi, MD
• Kennedy Chidi Alajemba
• Firas Alawawdeh, MD
• Albert a. Alley, LTD
• Adam J Albert, M.D.

• Assisted Living Facility in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.