Broad Acres Health & Rehabilitation Center

LBN: Broad Acres Nursing Home Association
Broad Acres Health & Rehabilitation Center is an health care organization with primary practice located at 1883 Shumway Hill Rd , Wellsboro PA 16901-6840. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Broad Acres Nursing Home Association can be contacted via phone (571) 724-3913, or through Maassen, Donna Jo via phone (414) 908-8119.

Contact Information

Primary practice address
1883 Shumway Hill Rd Wellsboro PA 16901-6840
Phone: (571) 724-3913
Fax: (571) 724-5484
Website:
Map and Directions
Authorized official contact:
Name: Maassen, Donna Jo
Phone: (414) 908-8119

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1528139078
LBN Legal business name Broad Acres Nursing Home Association
DBA Doing business as Broad Acres Health & Rehabilitation Center
Authorized official Maassen, Donna Jo
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Sep 19th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528139078 NPPES
Pennsylvania MEDICAID 000747640

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