Chariot Johnstown Alf Operations Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHARIOT JOHNSTOWN ALF OPERATIONS OPCO LLC

Doing business as

Amber Springs at Laurel Wood Care Center

Practice address

100 Woodmont Rd
Johnstown, PA 15905-1342

Phone

(814) 255-1488

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By 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

Shana K Mark, MBA

Title

Dir. Provider Contracting

Phone

(814) 277-4500

Specialties & licenses 1

Addresses

Other names 1

• Amber Springs at Laurel Wood Care Center Doing business as

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1942973771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 WALKER DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017097",
            "telephone_number": "814-277-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODMONT RD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159051342",
            "telephone_number": "814-255-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARIOT JOHNSTOWN ALF OPERATIONS OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIR. PROVIDER CONTRACTING",
        "authorized_official_telephone_number": "814-277-4500",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amber Springs at Laurel Wood Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Orthotic & Prosthetic Co., Inc
• Mariann M Cerimele, CRNA
• Gi Ming Chan, ND
• John O. Chan, MD
• Bethany Chappell
• Chariot Johnstown SNF Opco LLC (Laurel Wood Nursing & Rehabilitation Center)
• Charles G Shea DMD PC
• Charles G.Shea,DMD,PC
• Charles W. Stotler, M.D.
• Christine Mary Charney, M.A.

• Assisted Living Facility in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.