BCC Lewistown Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

309230 Issued in PA

Legal business name

BCC LEWISTOWN OPERATIONS, LLC

Doing business as

Elmcroft of Reedsville

Practice address

55 Carriage House LN
Reedsville, PA 17084-9633

Phone

(717) 667-9380

Fax

(717) 667-9386

NPI assigned

Oct 24, 2013

Last updated

Oct 24, 2013By 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

Ms. Robin L. Barber, JD

Title

Vice President

Phone

(502) 753-6004

Specialties & licenses 1

Addresses

Other names 1

• Elmcroft of Reedsville Doing business as

Locations

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1821426008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 ORMSBY STATION RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234081",
            "telephone_number": "502-753-6004",
            "fax_number": "502-753-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CARRIAGE HOUSE LN",
            "city": "REEDSVILLE",
            "state": "PA",
            "postal_code": "170849633",
            "telephone_number": "717-667-9380",
            "fax_number": "717-667-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCC LEWISTOWN OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "502-753-6004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "309230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmcroft of Reedsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ross W Coder
• Ann Victoria Colton, CRNP
• Cole R Dysinger, PHARM.D.
• Eric K Fowler, MD
• Daniel Robert Fultz, PTA

• Assisted Living Facility in Reedsville, PA
• Providers in Reedsville, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.