River Run Healthcare And Rehabilitation Center

LBN: Guardian Elder Care At Kingston Llc
River Run Healthcare And Rehabilitation Center is an health care organization with primary practice located at 615 Wyoming Ave , Kingston PA 18704-3703. 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. Guardian Elder Care At Kingston Llc can be contacted via phone (570) 288-5496, or through Eperesi, Michael via phone (814) 265-1164.

Contact Information

Primary practice address
615 Wyoming Ave Kingston PA 18704-3703
Phone: (570) 288-5496
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eperesi, Michael
Phone: (814) 265-1164

Health care specialties

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

Profile Details

NPI number 1194200873
LBN Legal business name Guardian Elder Care At Kingston Llc
DBA Doing business as River Run Healthcare And Rehabilitation Center
Authorized official Eperesi, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2018
Last updated Aug 25th, 2020 - about 5 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 1194200873 NPPES
Pennsylvania MEDICAID 103569572-0001

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