MEDICARE: TRANSITIONS HEALTHCARE NORTH HUNTINGDON LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	020102	PA

General Provider Information

NPI Number	:	1043213986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANSITIONS HEALTHCARE NORTH HUNTINGDON LLC

Provider Business Mailing Address
First Line	:	8850 BARNES LAKE RD
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642
Country	:	US
Telephone Number	:	724-864-7190
Fax Number	:	724-864-6063

Provider Business Practice Location Address
First Line	:	8850 BARNES LAKE RD
Second Line	:
City	:	NORTH HUNTINGDON
State	:	PA
Zip	:	15642
Country	:	US
Telephone Number	:	724-864-7190
Fax Number	:	724-864-6063

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	MR. MATTHEW R MAURANO
Credential	:
Telephone Number	:	410-654-4036

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	08/19/2014

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