Church of the Brethren Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032602 Issued in PA

Legal business name

CHURCH OF THE BRETHREN HOME

Practice address

277 Hoffman Ave
Windber, PA 15963-2369

Phone

(814) 467-5505

Fax

(814) 361-6412

NPI assigned

Jul 21, 2005

Last updated

Oct 9, 2008By 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

Thomas Reckner, NHA

Title

Administrator

Phone

(814) 467-5505

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1902806854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 HOFFMAN AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159632369",
            "telephone_number": "814-467-5505",
            "fax_number": "814-361-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HOFFMAN AVE",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159632369",
            "telephone_number": "814-467-5505",
            "fax_number": "814-361-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHURCH OF THE BRETHREN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "RECKNER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "814-467-5505",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "032602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "0620",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007520410002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1446138",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Anne Borrell, CRNP
• Kayla Jean Brehm, LCSW, LCAS
• Trudi J Brown, M.D.
• Sarah Elizabeth Bucci, CCC-SLP
• Kristiana Lanae Cascino
• Catherine Comas, MD
• Michael Gus Comas, M.D.
• Community Healthcare Operator Inc (The Woods at Windber Senior Living and Rehabilitation Center)
• Jane A Costlow, CRNA
• Counseling-Coaching-Consulting LLC

• Skilled Nursing Facility in Windber, PA
• Providers in Windber, 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 9, 2008; 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.