Active NPI
County of York
- Skilled Nursing Facility
- York, PA
National Provider Identifier
1790757607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 250102
- Legal business name
- COUNTY OF YORK
- Practice address
- 118 Pleasant Acres Rd
York, PA 17402-8975 - Phone
- (717) 840-7103
- Fax
- (717) 840-7414
- NPI assigned
- Feb 3, 2006
- 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. Marlin L. Peck, NHA
- Title
- Administrator
- Phone
- (717) 840-7103
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 250102 | PA | Primary |
| Nursing Facility Supplies (DME) | 332BN1400X |
Addresses
Primary practice location
118 Pleasant Acres Rd
York, PA 17402-8975
Mailing address
118 Pleasant Acres Rd
York, PA 17402-8975
Phone (717) 840-7103
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007509400002 | Medicaid | PA |
Other names 1
- Pleasant Acres Nursing & Rehabilitation Center
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Case Management Agency
- York, PA
- NPI 1962513002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205107200000",
"number": "1790757607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 PLEASANT ACRES RD",
"city": "YORK",
"state": "PA",
"postal_code": "174028975",
"telephone_number": "717-840-7103",
"fax_number": "717-840-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 PLEASANT ACRES RD",
"city": "YORK",
"state": "PA",
"postal_code": "174028975",
"telephone_number": "717-840-7103",
"fax_number": "717-840-7414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF YORK",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-03",
"last_updated": "2008-03-10",
"status": "A",
"authorized_official_last_name": "PECK",
"authorized_official_first_name": "MARLIN",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "717-840-7103",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "NHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "250102",
"primary": true
},
{
"code": "332BN1400X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007509400002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pleasant Acres Nursing & Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.