DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MAHONING VALLEY CONVALESCENT HOME, INC.

MEDICARE: MAHONING VALLEY CONVALESCENT HOME, INC.
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
1314000000XSkilled Nursing Facility130202PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598765489
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAHONING VALLEY CONVALESCENT HOME, INC.
Provider Business Mailing Address
First Line : 397 HEMLOCK DR
Second Line :
City : LEHIGHTON
State : PA
Zip : 18235-9712
Country : US
Telephone Number : 570-386-5522
Fax Number : 570-386-3292
Provider Business Practice Location Address
First Line : 397 HEMLOCK DR
Second Line :
City : LEHIGHTON
State : PA
Zip : 18235-9712
Country : US
Telephone Number : 570-386-5522
Fax Number : 570-386-3292
Authorized Official
Title or Position : PRESIDENT / C.E.O.
Name : MR. MICHAEL ANDREW MICKEY
Credential :
Telephone Number : 570-386-5522
Provider Enumeration Date : 07/21/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1730371923 — MRS. DEBRA LYNN TIMLIN OTR/L
Practice Location Address:
397 HEMLOCK DR
LEHIGHTON, PA
18235-9712
Practice Phone: 570-386-5522
Practice Fax:
1871136648 — MONA MEHRAJ PT
Practice Location Address:
397 HEMLOCK DR
LEHIGHTON, PA
18235-9712
Practice Phone: 570-386-5522
Practice Fax:
1417565698 — MARISSA FREY
Practice Location Address:
397 HEMLOCK DR
LEHIGHTON, PA
18235-9712
Practice Phone: 570-386-5522
Practice Fax:
1356952246 — DR. NICHOLAS DORAZIO DPT
Practice Location Address:
397 HEMLOCK DR
LEHIGHTON, PA
18235-9712
Practice Phone: 570-386-5522
Practice Fax:
1467034819 — BRIAN DANIEL SULLIVAN RN
Practice Location Address:
397 HEMLOCK DR
LEHIGHTON, PA
18235-9712
Practice Phone: 570-386-5522
Practice Fax:
1811570716 — NICOLE SCHMINKEY RN
Practice Location Address:
397 HEMLOCK DR
LEHIGHTON, PA
18235-9712
Practice Phone: 570-386-5522
Practice Fax:

Directions to “MAHONING VALLEY CONVALESCENT HOME, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.