Organization · Type 2 NPI

Pennsylvania Department of Human Services

Skilled Nursing Facility · South Mountain, PA

NPI number 1295718039 Active

Practice location

10058 S Mountain Rd
South Mountain, PA 17261-0900

Fax (717) 749-4071

Specialties and licenses

Taxonomy	Code	License
Nursing Facility/Intermediate Care Facility	313M00000X	None listed
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

7 other providers at this address

NPI record

NPI: 1295718039
Entity type: Organization (Type 2)
Issued: Nov 25, 2005
Last updated: Oct 4, 2021
Status: Active

Other names

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South Mountain Restoration Center · doing business as
South Mountain Restoration Center · doing business as

Authorized official

Kathy Light
Administrator
(717) 772-2518

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1295718039

Pennsylvania Department of Human Services's National Provider Identifier is 1295718039, issued on Nov 25, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in South Mountain, PA. The record was last updated on Oct 4, 2021.