Active NPI
Aventura at Terrace View LLC
- Skilled Nursing Facility
- Peckville, PA
National Provider Identifier
1790451920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- AVENTURA AT TERRACE VIEW LLC
- Practice address
- 260 Terrace Dr
Peckville, PA 18452 - Phone
- (570) 489-8611
- NPI assigned
- Aug 18, 2021
- 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. Moishe Kaszirer
- Title
- Coo
- Phone
- (610) 686-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
260 Terrace Dr
Peckville, PA 18452
Mailing address
1105 E County Line Rd Ste 206
Lakewood, NJ 08701-2122
Phone (610) 686-3300
Other names 1
- AVENTURA AT TERRACE VIEW
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Scranton, PA
- NPI 1093751034
-
- Internal Medicine Physician
- Scranton, PA
- NPI 1588634927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629244800000",
"number": "1790451920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 E COUNTY LINE RD STE 206",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087012122",
"telephone_number": "610-686-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 TERRACE DR",
"city": "PECKVILLE",
"state": "PA",
"postal_code": "18452",
"telephone_number": "570-489-8611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVENTURA AT TERRACE VIEW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-18",
"last_updated": "2021-08-18",
"certification_date": "2021-08-18",
"status": "A",
"authorized_official_last_name": "KASZIRER",
"authorized_official_first_name": "MOISHE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "610-686-3300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AVENTURA AT TERRACE VIEW",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "AVENTURA AT TERRACE VIEW",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peckville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.