UPMC SUSQUEHANNA LOCK HAVEN (NPI# 1487175816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487175816 |
| Entity Type | Organization |
| Organization Name | UPMC SUSQUEHANNA LOCK HAVEN |
| Other Organization Name | HAVEN SKILLED REHABILITATION & NURSING |
| Practice Address |
24 Cree Dr Lock Haven PA 17745-2639 |
| Mailing Address |
700 High St Williamsport PA 17701-3100 |
| Practice Telephone | 5708935000 |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | ERIC POHJALA (CFO) |
| Authorized Official Telephone | 5703213175 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Haven Skilled Rehabilitation & Nursing | Doing Business As Name - Organization |
| Lock Haven Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659893691 | Upmc Susquehanna Lock Haven | Clinic/Center | 208 E Church St, Lock Haven, PA 17745-2025 | 2017-07-12 |
| 1902328941 | Upmc Susquehanna Lock Haven | Internal Medicine | 208 E Church St, Lock Haven, PA 17745-2025 | 2017-07-12 |
| 1649792680 | Upmc Susquehanna Lock Haven | Clinic/Center | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2017-07-12 |
| 1811419856 | Upmc Susquehanna Lock Haven | Obstetrics & Gynecology | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2017-07-12 |
| Street Address |
24 CREE DR |
| City | LOCK HAVEN |
| State | PA |
| Zip Code | 17745-2639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770576993 | Brian R Altman | Orthopaedic Surgery | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2005-08-23 |
| 1154974996 | Melody Henderson | Occupational Therapist | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-22 |
| 1124670690 | Robyn Marie Croce | Physical Therapy Assistant | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-15 |
| 1801448261 | John Arthur Blachek IIi | Physical Therapist | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-15 |
| 1891347670 | Margaret Julia Beaton | Speech-Language Pathologist | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-12 |
| 1851943716 | Timothy Lester Moore | Physical Therapist | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-11 |
| 1588216477 | Mckenzie Florene Hakin | Occupational Therapy Assistant | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2019-07-11 |
| 1457836447 | Samantha Ann Witner | Nurse Practitioner | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2018-09-26 |
| 1750803797 | Upmc Lock Haven | Medicare Defined Swing Bed Unit | 24 Cree Dr, Lock Haven, PA 17745-2699 | 2017-07-12 |
| 1649792680 | Upmc Susquehanna Lock Haven | Clinic/Center | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2017-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760012587 | Clinton County Community Connections Inc | Clinic/Center | 10 N Washington Street, Lock Haven, PA 17745 | 2020-01-21 |
| 1740759539 | Jason Michael Niederriter | Pharmacist | 313-337 West Bald Eagle Street, Lock Haven, PA 17745 | 2018-11-21 |
| 1194240879 | Rene Pacificador Villegas | Physical Therapist | 502 East Howard St., Bellefonte, PA 17745 | 2017-08-03 |
| 1497101638 | Drew Ryan | Student in an Organized Health Care Education/Training Program | 15 Cochise Trail, Lock Haven, PA 17745 | 2016-05-06 |
| 1861766644 | Thomas John Ciuchta | Dentist | 44 E. Church Street, Lock Haven, PA 17745 | 2012-02-27 |
| 1497085021 | Abby Lynn Brown | Social Worker | 206 East Water Street, Lock Haven, PA 17745 | 2010-01-04 |
| 1093976482 | Infant Development Program Inc | Early Intervention Provider Agency | 980 East Water St, Lock Haven, PA 17745 | 2008-06-19 |
| 1073635769 | Richard Lee Powers II | Dentist | 525 High Street, Lock Haven, PA 17745 | 2007-04-04 |
| 1184792863 | Shailendra Nath Kapoor | Urology | 214 High Street, Flemington, PA 17745 | 2006-12-01 |
| 1629156054 | Samuel R Rockey Dmd PC | Dentist | 320 E Water St, Lock Haven, PA 17745 | 2006-11-02 |
| Find all providers in zip 17745 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337523 | Susque-view Home, Inc | Skilled Nursing Facility | 22 Cree Dr, Lock Haven, PA 17745-2639 | 2005-06-22 |
| 1013988716 | Clinton Hospital Corporation | Skilled Nursing Facility | 24 Cree Dr, Lock Haven, PA 17745-2639 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
| 1689273500 | Southwestern Healthcare Operations LLC | Skilled Nursing Facility | 500 Lewis Run Road, Pittsburgh, PA 15122-3056 | 2020-10-21 |
| 1922626290 | Brsi, Lp | Skilled Nursing Facility | 303 Walnut St Fl 7, Harrisburg, PA 17101-1825 | 2020-07-13 |
| 1932727591 | 1425 Horsham Snf Operations LLC | Skilled Nursing Facility | 1425 Horsham Road, North Wales, PA 19454-1320 | 2020-07-10 |
| 1184242182 | Conestoga View Snf Operations LLC | Skilled Nursing Facility | 900 E King Street, Lancaster, PA 17602-3272 | 2020-07-07 |
| 1164040168 | Mountain View Snf Operations LLC | Skilled Nursing Facility | 2050 Trevorton Road, Coal Township, PA 17866-9405 | 2020-07-07 |
| 1508484502 | Timber Ridge Snf Operations LLC | Skilled Nursing Facility | 1555 East End Boulevard, Plains Twp, PA 18702-7927 | 2020-07-07 |
| 1205456704 | Embassy Sharon, LLC | Skilled Nursing Facility | 959 E. State Street, Sharon, PA 16146 | 2020-04-24 |
| 1952940785 | Newport Meadows Health and Rehabilitation Center LLC | Skilled Nursing Facility | 41 Newport Avenue, Christina, PA 17509-1305 | 2019-12-26 |
| 1851954176 | Silvercare Skilled Nursing LLC | Skilled Nursing Facility | 2600 W 9th St Unit A, Chester, PA 19013-2040 | 2019-04-22 |
| Find all providers with the same taxonomy | ||||
| City | LOCK HAVEN |
| Zip Code | 17745 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.