Presbyterian Homes Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

194402 Issued in PA

Legal business name

PRESBYTERIAN HOMES INC.

Practice address

1445 Sycamore Rd
Montoursville, PA 17754-9519

Phone

(570) 326-2037

Fax

(717) 737-6763

NPI assigned

Sep 2, 2005

Organization subpart

Yes

Parent organization

PHIAs reported in NPPES

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

Authorized official

Name

Mrs. Donna B Casner

Title

VP/Controller

Phone

(717) 502-8922

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sycamore Manor Health Center Doing business as

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1841284098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRINITY DR E",
            "address_2": "SUITE 201",
            "city": "DILLSBURG",
            "state": "PA",
            "postal_code": "170198522",
            "telephone_number": "717-502-8840",
            "fax_number": "717-502-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 SYCAMORE RD",
            "city": "MONTOURSVILLE",
            "state": "PA",
            "postal_code": "177549519",
            "telephone_number": "570-326-2037",
            "fax_number": "717-737-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN HOMES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHI",
        "enumeration_date": "2005-09-02",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "CASNER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VP/CONTROLLER",
        "authorized_official_telephone_number": "717-502-8922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "194402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007494880015",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Manor Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mehulaben Patel
• Jennifer Patson, PHARMD
• Violeta Pesa, PT
• Kimberly A. Peterson, PHARM.D
• Powerback Rehabilitation LLC
• Robert E. Purcell Jr., M.D.
• Ashley Raniero
• Jennifer Reese, CRNP
• Kimberly Anne Reichard, PHARM D
• Madelyn Maureen Reitz, PA-C

• Skilled Nursing Facility in Montoursville, PA
• Providers in Montoursville, 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 1, 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.