Country Meadows of South Hills Associates

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

125402 Issued in PA

Legal business name

COUNTRY MEADOWS OF SOUTH HILLS ASSOCIATES

Practice address

3590 Washington Pike
Bridgeville, PA 15017-1047

Phone

(412) 257-2474

Fax

(412) 257-0358

NPI assigned

Jul 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Vincent J. Mizak, CPA

Title

VP- Finance, Accounting, Info SRVS

Phone

(717) 533-0723

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• south hills nursing and rehabilitiation center Doing business as

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1841290731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHERRY DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332007",
            "telephone_number": "717-533-0723",
            "fax_number": "717-533-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 WASHINGTON PIKE",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171047",
            "telephone_number": "412-257-2474",
            "fax_number": "412-257-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY MEADOWS OF SOUTH HILLS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "MIZAK",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "VP- FINANCE, ACCOUNTING, INFO SRVS",
        "authorized_official_telephone_number": "717-533-0723",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "125402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009828380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "south hills nursing and rehabilitiation center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janice A. Colosimo, LCSW
• Kayla Cominsky
• Sara Commander, M.S. CGC
• Complete RX Services Inc
• Olivia R Cook
• Celina Courtwright
• Arthur Craft, PH.D.
• Karl J Crevar, R.PH.
• Sally Crompton, LPC
• Evan Patrick Csir, MA, NCC, LBS, LPC

• Skilled Nursing Facility in Bridgeville, PA
• Providers in Bridgeville, 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 Oct 4, 2011; 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.