Guardian Elder Care at Millmont LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GUARDIAN ELDER CARE AT MILLMONT LLC

Doing business as

Rolling Hills Healthcare and Rehabilitation Center

Practice address

17350 Old Turnpike Rd
Millmont, PA 17845-9334

Phone

(570) 922-3351

NPI assigned

Apr 19, 2007

Last updated

Aug 25, 2020By 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

Michael Eperesi

Title

Cfo

Phone

(814) 265-1164

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Rolling Hills Healthcare and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1790902203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8796 ROUTE 219",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "158246010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 OLD TURNPIKE RD",
            "city": "MILLMONT",
            "state": "PA",
            "postal_code": "178459334",
            "telephone_number": "570-922-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ELDER CARE AT MILLMONT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "EPERESI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-265-1164"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "320202",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101936725-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rolling Hills Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rolling Hills Healthcare and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rickie Freedman
• GF/Pennsylvania Properties Inc (Rolling Hills Manor)
• Natalie Knepp, COTA/L
• Rosalyn Ann Mabus, OTR/L
• Sharon Ann McChesney, COTA
• Rolling Hills Nursing and Rehabilitation LLC (Rolling Hills Healthcare and Rehabilitation Center)
• Rolling Hills Rehabilitation and Healthcare Center LLC (Rolling Hills Nursing and Rehab)

• Skilled Nursing Facility in Millmont, PA
• Providers in Millmont, 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 Aug 25, 2020; 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.