Kinkora Pythian Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

110902 Issued in PA

Legal business name

KINKORA PYTHIAN HOME

Practice address

25 Cove Rd
Duncannon, PA 17020-9514

Phone

(717) 834-4887

Fax

(717) 834-6622

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mitch A. Himmelberger, NHA, MSW,BA

Title

Executive Director

Phone

(717) 834-4887

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1821096801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COVE RD",
            "city": "DUNCANNON",
            "state": "PA",
            "postal_code": "170209514",
            "telephone_number": "717-834-4887",
            "fax_number": "717-834-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COVE RD",
            "city": "DUNCANNON",
            "state": "PA",
            "postal_code": "170209514",
            "telephone_number": "717-834-4887",
            "fax_number": "717-834-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINKORA PYTHIAN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "HIMMELBERGER",
        "authorized_official_first_name": "MITCH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-834-4887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA, MSW,BA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "110902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007575300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Konrad Gorski
• Emma Herbert, DPT
• Homecare Therapies, LLC
• Courtney Jo Ingalls, CCC-SLP
• Noelle Keel, PTA
• Druann Knisely, COTA
• Karen Kreiger
• Kelly Ann Kuzminski, DPT
• Deborah Lynne Lawrence, M.S. CCC-SLP
• Laila Nicole Long, CRNP

• Skilled Nursing Facility in Duncannon, PA
• Providers in Duncannon, 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 Sep 30, 2010; 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.