SHAFFERS COUNTRYSIDE ASSISTED LIVING (NPI# 1245403302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245403302 |
| Entity Type | Organization |
| Organization Name | SHAFFERS COUNTRYSIDE ASSISTED LIVING |
| Practice Address |
1841 Stoystown Rd Friedens PA 15541-7409 |
| Practice Telephone | 8144441722 |
| Practice Fax Number | 8144433879 |
| Mailing Telephone | 8144441722 |
| Mailing Fax Number | 8144433879 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Authorized Official Name | MRS. RUTH A SHAFFER (ADMINISTRATOR / OWNER) |
| Authorized Official Telephone | 8144441722 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
321450 | PA | Nursing & Custodial Care Facilities |
| Street Address |
1841 STOYSTOWN RD |
| City | FRIEDENS |
| State | PA |
| Zip Code | 15541-7409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740223908 | Shanksville-stonycreek School District | Local Education Agency (LEA) | 1325 Corner Stone Rd, Friedens, PA 15541-6157 | 2006-06-14 |
| 1396364360 | Kayla Maust | Physical Therapy Assistant | 1284 Stutzmantown Rd, Friedens, PA 15541-6506 | 2020-04-10 |
| 1588140396 | Nichole Tamie Landis | Occupational Therapist | 468 Heyer Rd, Friedens, PA 15541-7171 | 2018-07-15 |
| 1528442985 | Ruth A Shaffer | Nurse Practitioner | 1846 Stoystown Rd, Friedens, PA 15541-7405 | 2015-07-16 |
| 1982248530 | Brandon Smith | Massage Therapist | 1324 Stoystown Rd, Friedens, PA 15541-7504 | 2019-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396364360 | Kayla Maust | Physical Therapy Assistant | 1284 Stutzmantown Rd, Friedens, PA 15541-6506 | 2020-04-10 |
| 1982248530 | Brandon Smith | Massage Therapist | 1324 Stoystown Rd, Friedens, PA 15541-7504 | 2019-11-06 |
| 1588140396 | Nichole Tamie Landis | Occupational Therapist | 468 Heyer Rd, Friedens, PA 15541-7171 | 2018-07-15 |
| 1528442985 | Ruth A Shaffer | Nurse Practitioner | 1846 Stoystown Rd, Friedens, PA 15541-7405 | 2015-07-16 |
| 1740223908 | Shanksville-stonycreek School District | Local Education Agency (LEA) | 1325 Corner Stone Rd, Friedens, PA 15541-6157 | 2006-06-14 |
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837218 | Felix Hernandez | Custodial Care Facility | 814 Saint Paul St, Lewisburg, PA 17837-1210 | 2019-12-04 |
| 1811483084 | Silvercare Personal Care LLC | Custodial Care Facility | 34 Copley Rd, Upper Darby, PA 19082-2512 | 2018-07-10 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1295275519 | Nonprofit Development Corporation | Custodial Care Facility | 921 Grant Ave, East Butler, PA 16029 | 2017-03-06 |
| 1164875696 | White Lily Home Care Inc | Custodial Care Facility | 4915 Wynnefield Avenue, 1af, Wynnefield Heights, PA 19131 | 2016-07-20 |
| 1043661341 | Xzavier Hunter | Custodial Care Facility | 7007 York Rd, Abbottstown, PA 17301-9774 | 2016-06-28 |
| 1801292990 | Alpa Care Concepts | Custodial Care Facility | 6649 Woodland Ave, Philadelphia, PA 19142-1621 | 2014-11-17 |
| 1376971135 | Pocono Tranquil Gardens, LLC | Custodial Care Facility | 329 E Brown St, East Stroudsburg, PA 18301-3014 | 2013-10-14 |
| 1205273943 | Golden Age Care LLC | Custodial Care Facility | 716 Red Lion Rd, Philadelphia, PA 19115-1307 | 2013-06-03 |
| 1689913196 | Keystone Independent Living | Custodial Care Facility | 202 Boulevard Ave, Peckville, PA 18452-1002 | 2013-02-04 |
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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.