Maybrook-C Evergreen Opco, LLC
Organization Active NPI Skilled Nursing Facility · Harmony, PA
NPI 1992166565 · NPPES record last updated May 13, 2019
Key facts
- NPI
- 1992166565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- MAYBROOK-C EVERGREEN OPCO, LLC
- Practice address
- 191 Evergreen Mill Rd
Harmony, PA 16037-9141 - Phone
- (724) 452-6970
- NPI assigned
- Mar 10, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark Nord
- Title
- Administrator
- Phone
- (724) 452-6970
Practitioners 1
-
David Gerard Thimons, D.O.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
191 Evergreen Mill Rd
Harmony, PA 16037-9141
Mailing address
191 Evergreen Mill Road
Harmony, PA 16037-9141
Phone (724) 452-6970
Other names
- The Grove at Harmony
Other providers in Harmony, PA
- Jeffrey Kustra
- Christopher Lee Lewis
- David Malinic
- Marysia Inc
- Marysia Inc
- Charles Eric McCandless
- Mara Cecile Miglioretti
- Julianne Novak
- Haley Ondecko
- Overlook Leasing Partnership
All providers in Harmony, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.