LTC Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

061202 Issued in PA

Legal business name

LTC ASSOCIATES LLC

Doing business as

Forest City Nursing and Rehabilitation Center

Practice address

915 Delaware St
Forest City, PA 18421-1005

Phone

(570) 785-3005

Fax

(570) 785-3005

NPI assigned

Jul 2, 2008

Last updated

Feb 24, 2009By 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

Drew Sparks

Title

Chief Financial Officer

Phone

(570) 785-3005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Forest City Nursing and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1770745598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 DELAWARE ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211005",
            "telephone_number": "570-785-3005",
            "fax_number": "570-785-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 DELAWARE ST",
            "city": "FOREST CITY",
            "state": "PA",
            "postal_code": "184211005",
            "telephone_number": "570-785-3005",
            "fax_number": "570-785-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "570-785-3005"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "061202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39-5554",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest City Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer M Kubrak, PT
• Lori Ann Lagoda
• Matthew Lavin, DPT
• Lisa Ann Levine
• LTC Associates (Forest City Nursing and Rehab Center)
• Joseph Scott Miskovsky, RPH
• Elizabeth T Morris, OTR/L
• Bernadette Musgrove, LPN
• Carl William Ohara, D.C.
• Jessica Oneill, OT

• Skilled Nursing Facility in Forest City, PA
• Providers in Forest City, 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 Feb 24, 2009; 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.