Senior Choice,Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

167902 Issued in PA

Legal business name

SENIOR CHOICE,INC

Doing business as

The Patriot A Choice Community

Practice address

495 W Patriot St
Somerset, PA 15501-1503

Phone

(814) 445-4549

Fax

(814) 443-2631

NPI assigned

Jul 7, 2005

Last updated

Apr 29, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

SENIOR CHOICEAs reported in NPPES

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

Authorized official

Name

Mrs. Maria Fisher, NHA

Title

Nursing Home Administrator

Phone

(814) 445-4549

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• The Patriot A Choice Community Doing business as

Part of

Senior Choiceinc

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig H Fockler, DO

  • Family Medicine Physician
  • Johnstown, PA
  • NPI 1104820687
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1801893664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 W PATRIOT ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011503",
            "telephone_number": "814-445-4549",
            "fax_number": "814-443-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W PATRIOT ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011503",
            "telephone_number": "814-445-4549",
            "fax_number": "814-443-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CHOICE,INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR CHOICE",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "814-445-4549",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "167902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG PROVIDER ID",
            "identifier": "732237",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801893664",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001324140008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "0663",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA PROVIDER ID",
            "identifier": "1474635",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Patriot A Choice Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirk D Schrock, D.C.
• SD Pharmacy Services LLC (Mainline Pharmacy - Somerset)
• SD Pharmacy Services LLC
• Krystal Sechler, BS
• Dragana Sekulic, M.D.
• Paul C Serra, MD
• Rebecca Allison Serre, CRNP
• Carrie Beth Seslow, LCSW
• Anni Renee Shaffer Cole
• Christie Nicole Shaffer, RN

• Skilled Nursing Facility in Somerset, PA
• Providers in Somerset, 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 Apr 29, 2009; 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.