ANGEL HEARTS PEDIATRIC CARE, LLC (NPI# 1063800712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063800712 |
| Entity Type | Organization |
| Organization Name | ANGEL HEARTS PEDIATRIC CARE, LLC |
| Practice Address |
44 E Independence St Shamokin PA 17872-6804 |
| Practice Telephone | 5706486100 |
| Practice Fax Number | 5706486104 |
| Mailing Telephone | 5706486100 |
| Mailing Fax Number | 5706486104 |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-07-01 |
| Authorized Official Name | MR. RICKY J LONG (AUTHORIZED OFIICIAL) |
| Authorized Official Telephone | 5708759094 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 05640501 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1029803430001 | 05 |
| Street Address |
44 E INDEPENDENCE ST |
| City | SHAMOKIN |
| State | PA |
| Zip Code | 17872-6804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841718491 | Angela Larue Schweitzer | Nurse Practitioner | 255 W. Spruce St, Shamokin, PA 17872 | 2017-09-05 |
| 1982989851 | Catherine Seedor | Licensed Practical Nurse | 169 North Grant Street, Shamokin, PA 17872 | 2011-10-11 |
| 1477799468 | Victor John Mihal | Chiropractor | 500 North Shamokin St., Shamokin, PA 17872 | 2008-12-23 |
| 1790842482 | Ernest Lamar Steinhart IIi | Dentist | 6 North Market Street, Shamokin, PA 17872 | 2007-01-02 |
| 1386707404 | James R Bull | Dentist | 518 N Shamokin St, Shamokin, PA 17872 | 2006-12-19 |
| 1467521948 | Robert N Hewlett Jr. | Pharmacist | 605 North Shamokin St, Medicine Shoppe Pharmacy, Shamokin, PA 17872 | 2006-11-07 |
| 1891894796 | Pooja Anju Agnish | Dentist | 550 West Walnut St, Shamokin, PA 17872 | 2006-09-21 |
| 1013950278 | Shamokin Area School District | Local Education Agency (LEA) | 7th & Arch Streets, Shamokin, PA 17872 | 2006-06-14 |
| 1184601312 | Tablett Inc | Pharmacy | 605 N Shamokin St, Shamokin, PA 17872 | 2005-12-29 |
| 1689745895 | Karen A. Kaskie | Nurse Practitioner | 531 N Franklin St, Shamokin, PA 17872 | 2006-11-10 |
| Find all providers in zip 17872 | ||||
| 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. |
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| 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 | ||||
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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.