Chariot Harrisburg SNF Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHARIOT HARRISBURG SNF OPCO LLC

Doing business as

Colonial Park Nursing & Rehabilitation Center

Practice address

800 King Russ Rd
Harrisburg, PA 17109-5101

Phone

(717) 657-1520

NPI assigned

Jul 27, 2021

Last updated

Jul 27, 2021By 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

Shana K Mark, MBA

Title

Dir Provider of Contracting

Phone

(814) 277-4500

Specialties & licenses 1

Addresses

Other names 1

• Colonial Park Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1831862762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 WALKER DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017097",
            "telephone_number": "814-277-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 KING RUSS RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095101",
            "telephone_number": "717-657-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIOT HARRISBURG SNF OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIR PROVIDER OF  CONTRACTING",
        "authorized_official_telephone_number": "814-277-4500",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Park Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Chapman
• Jamie Chapman, CRNP
• Lindsey Cummings Chapman, CRNP
• Alfred Roger Chappelka Jr., MD
• Maciej Tadeusz Charczuk, M.D.
• Charisma Home Care LLC
• Andrew Charney, LPC, NCC
• Donald J Charney, M.D.
• Hannah Marjorie Chartrand
• Nazia Aslam Chaudhry, M.D.

• Skilled Nursing Facility in Harrisburg, PA
• Providers in Harrisburg, 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 Jul 27, 2021; 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.