Healthcare Provider Details

I. General information

NPI: 1528068012
Provider Name (Legal Business Name): CNH, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HART PL
CARBONDALE PA
18407-1593
US

IV. Provider business mailing address

101 E STATE ST
KENNETT SQUARE PA
19348-3109
US

V. Phone/Fax

Practice location:
  • Phone: 570-282-1020
  • Fax: 570-282-5244
Mailing address:
  • Phone: 610-925-4436
  • Fax: 610-347-4099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number030702
License Number StatePA

VIII. Authorized Official

Name: NOELLE KOVALESKI
Title or Position: ADMINISTRATOR
Credential: NHA
Phone: 570-282-1020