Healthcare Provider Details

I. General information

NPI: 1700257649
Provider Name (Legal Business Name): PARAMOUNT NURSING AND REHABILITATION AT PETERS TOWNSHIP,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 12/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 CEDAR HILL DR
MC MURRAY PA
15317-2584
US

IV. Provider business mailing address

240 CEDAR HILL DR
MC MURRAY PA
15317-2584
US

V. Phone/Fax

Practice location:
  • Phone: 724-969-1040
  • Fax:
Mailing address:
  • Phone: 724-969-1040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: JAMES JAY COX
Title or Position: CEO
Credential:
Phone: 412-600-3574