NPIMap

Organization Active NPI

Vincentian Regency

  • Skilled Nursing Facility
  • Allison Park, PA
National Provider Identifier
1881690295
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VINCENTIAN REGENCY
Practice address
9399 Babcock Blvd
Allison Park, PA 15101-2008
Phone
(412) 366-8540
Fax
(412) 369-9789
NPI assigned
Jun 22, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sister Mary Ann Genovich, NHA
Title
Administrator
Phone
(412) 366-8540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

9399 Babcock Blvd
Allison Park, PA 15101-2008

Mailing address

9399 Babcock Blvd
Allison Park, PA 15101-2008
Phone (412) 366-8540

Other identifiers 2

IdentifierTypeStateIssuer
1007742390003MedicaidPA
0576OtherPAHIGHMARK PROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881690295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9399 BABCOCK BLVD",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012008",
            "telephone_number": "412-366-8540",
            "fax_number": "412-369-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 BABCOCK BLVD",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012008",
            "telephone_number": "412-366-8540",
            "fax_number": "412-369-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENTIAN REGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENOVICH",
        "authorized_official_first_name": "SISTER MARY ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "412-366-8540",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007742390003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "0576",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allison Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.