Birchwood Nursing & Rehab Ctr

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

026402 Issued in PA

Legal business name

BIRCHWOOD NURSING & REHAB CTR

Practice address

395 E Middle Rd
Nanticoke, PA 18634-3806

Phone

(570) 735-2973

Fax

(570) 735-8420

NPI assigned

Jun 30, 2005

Last updated

Jan 30, 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

Sam Kravetz

Title

C.F.O.

Phone

(732) 942-1344

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1790782217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 E MIDDLE ROAD",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186343806",
            "telephone_number": "570-735-2973",
            "fax_number": "570-735-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 E MIDDLE RD",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186343806",
            "telephone_number": "570-735-2973",
            "fax_number": "570-735-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD NURSING & REHAB CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "KRAVETZ",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "732-942-1344"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "026402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009420910001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Adkins, PTA
• Teri Antosh, OTR
• Anthony Balent
• Bio-Medical Applications of Pennsylvania, Inc. (Fresenius Medical Care Nanticoke)
• Birchwood Place SNF LLC (Birchwood Nursing and Rehabilitation Center)
• Birchwood Rehabilitation and Healthcare LLC
• Birchwood SNF LLC
• John Bobeck, MD
• Reecie Boyles, PHARMD

• Skilled Nursing Facility in Nanticoke, PA
• Providers in Nanticoke, 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 Jan 30, 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.