NPIMap

Organization Active NPI

Concordia Lutheran Health and Human Care

  • Rehabilitation Clinic/Center
  • Cabot, PA
National Provider Identifier
1982860375
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CONCORDIA LUTHERAN HEALTH AND HUMAN CARE
Practice address
134 Marwood Rd
Cabot, PA 16023-2206
Phone
(724) 352-1571
Fax
(724) 352-2740
NPI assigned
Aug 5, 2008
Organization subpart
Yes
Parent organization
CONCORDIA LUTHERAN MINISTRIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Mrs. Charlene Kish
Title
Vice President of Skilled Nursing
Phone
(724) 352-1571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

134 Marwood Rd
Cabot, PA 16023-2206

Mailing address

134 Marwood Rd
Cabot, PA 16023-2206
Phone (724) 352-1571

Other names 1

  • Concordia Outpatient Therapy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061129000099 PA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 0648171553 1 other NPI on this enrollment
Practice locations: Cabot, PA

Outpatient physical therapy / speech pathology certification: CCN 396756

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CONCORDIA LUTHERAN MINISTRIES
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 1, 1998
Last certification
Jul 5, 2023
Ownership / control type
Voluntary Non-Profit Other Than Church
Facility address
134 Marwood Road
Cabot, PA 16023

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Lutheran Welfare Concor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Concordia at Rebecca ResidenceAllison Park, PA, CCN 396067 Skilled nursing facility 5% Or Greater Direct Ownership Interest May 9, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1982860375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MARWOOD RD",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232206",
            "telephone_number": "724-352-1571",
            "fax_number": "724-352-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MARWOOD RD",
            "city": "CABOT",
            "state": "PA",
            "postal_code": "160232206",
            "telephone_number": "724-352-1571",
            "fax_number": "724-352-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA LUTHERAN HEALTH AND HUMAN CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONCORDIA LUTHERAN MINISTRIES",
        "enumeration_date": "2008-08-05",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF SKILLED NURSING",
        "authorized_official_telephone_number": "724-352-1571",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordia Outpatient Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cabot, PA

Sources for this page

Verify at the official NPI Registry.