Laurel Crest DME

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

6000004896 Issued in PA

Legal business name

LAUREL CREST DME

Practice address

429 Manor Dr
Ebensburg, PA 15931-4917

Phone

(814) 472-8100

Fax

(814) 471-2131

NPI assigned

Oct 7, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nancy J. McMahon

Title

Asst. Financial Officer

Phone

(814) 472-8100

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1801884432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 MANOR DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314917",
            "telephone_number": "814-472-8100",
            "fax_number": "814-471-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 MANOR DR",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314917",
            "telephone_number": "814-472-8100",
            "fax_number": "814-471-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL CREST DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "MCMAHON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ASST. FINANCIAL OFFICER",
        "authorized_official_telephone_number": "814-472-8100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PA",
            "license": "6000004896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016181920003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Kupchella
• Barbara Kutruff, OT
• Kathleen Landy, PT
• Jill Lane, RN
• Lori Ann Lansberry, OT
• Laurel Medical Supplies, Inc.
• William George Leary Jr., RN
• Robert Raymond Leichliter, D.C.
• Jennifer Lepore, MSW
• Barbara A Lewis

• Parenteral & Enteral Nutrition Supplies (DME) in Ebensburg, PA
• Providers in Ebensburg, PA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.