Green Ridge Care Center

LBN: Green Ridge Healthcare Group, Llc
Green Ridge Care Center is an health care organization with primary practice located at 2741 Boulevard Ave , Scranton PA 18509-1000. 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. Green Ridge Healthcare Group, Llc can be contacted via phone (570) 344-6121, or through Weisberg, William I via phone (216) 292-5706.

Contact Information

Primary practice address
2741 Boulevard Ave Scranton PA 18509-1000
Phone: (570) 344-6121
Fax: (570) 344-5171
Website:
Map and Directions
Authorized official contact:
Name: Weisberg, William I
Phone: (216) 292-5706

Health care specialties

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

Profile Details

NPI number 1194015784
LBN Legal business name Green Ridge Healthcare Group, Llc
DBA Doing business as Green Ridge Care Center
Authorized official Weisberg, William I
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 15th, 2011
Last updated Jan 11th, 2022 - about 4 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 1194015784 NPPES
Pennsylvania MEDICAID 1026046300001

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