Richardson's Clarksville Resthome

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

445200 Issued in PA

Legal business name

RICHARDSON'S CLARKSVILLE RESTHOME

Practice address

334 Pitgas Rd
Clarksville, PA 15322-6345

Phone

(724) 377-9273

NPI assigned

Apr 18, 2008

Last updated

Apr 18, 2008By 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

Mrs. Marietta Rose Richardson

Title

Owner/Administrator

Phone

(724) 377-9273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1780858910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 PITGAS RD",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "153226345",
            "telephone_number": "724-377-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 PITGAS RD",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "153226345",
            "telephone_number": "724-377-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON'S CLARKSVILLE RESTHOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MARIETTA",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "724-377-9273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PA",
            "license": "445200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarksville Ambulance Service
• Brian Christopher Gullett, D.O.
• Journey to Healing Counseling Associates, LLC
• Tracy Pekar, RN
• Precious Moments Personal Care Home, Inc. (McDaniels Personal Care Home)
• Kristin Smith, D.O.

• Adult Care Home Facility in Clarksville, PA
• Providers in Clarksville, PA by specialty
• Adult Care Home Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.