Pleasant Valley Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

161702 Issued in PA

Legal business name

PLEASANT VALLEY MANOR, INC.

Practice address

4227 Manor Dr
Stroudsburg, PA 18360-9451

Phone

(570) 992-4172

Fax

(570) 992-0324

NPI assigned

Dec 29, 2006

Last updated

Aug 22, 2020By 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

Catherine M. Poppiti

Title

Director of Finance

Phone

(570) 992-4172

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Pascal, D.O.

  • Family Medicine Physician
  • Stroudsburg, PA
  • NPI 1205097706
  NPD (past)
• Solibe Chikaodili Ufondu, MD

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1548232523
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922164466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 MANOR DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609451",
            "telephone_number": "570-992-4172",
            "fax_number": "570-992-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 MANOR DR",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609451",
            "telephone_number": "570-992-4172",
            "fax_number": "570-992-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPPITI",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "570-992-4172"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "161702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008619590002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alizee Louise Marie Pertus
• Peter J Racciato MD PC
• Taryn Petersen, MA, LPC, NCC
• Reed Bradley Pett, OD
• Patricia Pinkowski, RN
• Pocono Ambulatory Surgery Center LTD
• Pocono Counseling Associates PC
• Pocono Foot & Ankle Consultants, P.C.
• Pocono Institute of Neurology and Psychiatry PC
• Pocono Medical Center (PMC Physician Associates Vascular Surgery)

• Skilled Nursing Facility in Stroudsburg, PA
• Providers in Stroudsburg, 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 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.