Pennknoll Village

LBN: Op Everett, Llc
Pennknoll Village is an health care organization with primary practice located at 208 Pennknoll Rd , Everett PA 15537-6940. 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. Op Everett, Llc can be contacted via phone (814) 623-3200, or through Conte, Joseph via phone (407) 571-1550.

Contact Information

Primary practice address
208 Pennknoll Rd Everett PA 15537-6940
Phone: (814) 623-3200
Fax: (814) 623-3202
Website:
Map and Directions
Authorized official contact:
Name: Conte, Joseph
Phone: (407) 571-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 680602 Pennsylvania

Profile Details

NPI number 1750321535
LBN Legal business name Op Everett, Llc
DBA Doing business as Pennknoll Village
Authorized official Conte, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1750321535 NPPES
Pennsylvania MEDICAID 1012268000001

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