Trinity Mission of Shenandoah Heights, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

152502 Issued in PA

Legal business name

TRINITY MISSION OF SHENANDOAH HEIGHTS, LLC

Doing business as

Trinity Mission Health & Rehab of Shenandoah Heights

Practice address

200 Pennsylvania Ave
Shenandoah, PA 17976-1332

Phone

(570) 462-1921

Fax

(571) 462-4946

NPI assigned

May 11, 2006

Organization subpart

Yes

Parent organization

COVENANT DOVE, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Adrienne Pintilie

Title

Vice President

Phone

(901) 937-7994

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Trinity Mission Health & Rehab of Shenandoah Heights Doing business as

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1730139460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PENNSYLVANIA AVE",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761332",
            "telephone_number": "570-462-1921",
            "fax_number": "571-462-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PENNSYLVANIA AVE",
            "city": "SHENANDOAH",
            "state": "PA",
            "postal_code": "179761332",
            "telephone_number": "570-462-1921",
            "fax_number": "571-462-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MISSION OF SHENANDOAH HEIGHTS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COVENANT DOVE, LLC",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "PINTILIE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "152502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1886166",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Mission Health & Rehab of Shenandoah Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shenandoah Opco LLC
• Shenandoah Valley School District
• Sasha W Sherry
• Smnrc, LP
• Yalixsa Then, FNP-BC
• Sherley Vasquez, LPT
• Adolph Michael Wychulis, MD
• Logan J. Zeitler, MS, OTR/L

• Skilled Nursing Facility in Shenandoah, PA
• Providers in Shenandoah, 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 Aug 25, 2011; 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.