McKerley Health Care Centers, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N/A Issued in VT

Legal business name

MCKERLEY HEALTH CARE CENTERS, INC.

Doing business as

Morrisville Center

Practice address

72 Harrel St
Morrisville, VT 05661-8526

Phone

(802) 888-3131

Fax

(802) 888-7991

NPI assigned

Jun 20, 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

Marcella Wilkinson

Title

Corporate Director

Phone

(610) 925-4045

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Morrisville Center Doing business as

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972548006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 HARREL ST",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056618526",
            "telephone_number": "802-888-3131",
            "fax_number": "802-888-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKERLEY HEALTH CARE CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "610-925-4045"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-HMO",
            "identifier": "1038667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF VT",
            "identifier": "475051",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475051",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "317788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrisville Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jitka H. Matherly, D.D.S.
• Elizaveta Matiach, MS, LPM
• Mirjam McCormack, MD
• Joanne McGrath, PHD
• Sara McKay, LICSW
• Joseph Stephens McLaughlin, M.D.
• Kevin A. McNamara, DPM
• Samantha Buley Medved, LICSW
• Tedra Meyer
• Jeffry E Michaelson, PT

• Skilled Nursing Facility in Morrisville, VT
• Providers in Morrisville, VT by specialty
• Skilled Nursing Facility in Vermont

• 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.