Hearthside Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HEARTHSIDE REHAB CENTER LLC

Practice address

450 Waupelani Dr
State College, PA 16801-4516

Phone

(814) 237-0630

NPI assigned

Nov 30, 2016

Organization subpart

No

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

Authorized official

Name

Terri Sherman

Title

Coo

Phone

(908) 315-3400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1972046506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BIRCHWOOD AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 WAUPELANI DR",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168014516",
            "telephone_number": "814-237-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTHSIDE REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-315-3400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Hays, M.D.
• Douglas W. Hayward, ERYT
• Matthew Allyn Hazey, M.D.
• Healing Room Inc.
• Healthy Valley Chiropractic LLC
• Hearthside Rehabilitation & Healthcare Center LLC
• Debra A Heckman, CRNA
• Hedrick Food & Nutrition Consulting, LLC
• Theresa Hedrick, RDN
• Heimer Eye Care Assoc. P.C.

• Skilled Nursing Facility in State College, PA
• Providers in State College, 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 Nov 30, 2016; 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.