BCC MID VALLEY OPERATIONS, LLC (NPI# 1649608050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649608050 |
| Entity Type | Organization |
| Organization Name | BCC MID VALLEY OPERATIONS, LLC |
| Other Organization Name | ELMCROFT OF MID VALLEY |
| Practice Address |
89 Sturges Rd Peckville PA 18452-1302 |
| Mailing Address |
9510 Ormsby Station Rd Suite 101 Louisville KY 40223-4081 |
| Practice Telephone | 5703839090 |
| Practice Fax Number | 5703836665 |
| Mailing Telephone | 5027536004 |
| Mailing Fax Number | 5027536104 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | MS. ROBIN L BARBER (VICE PRESIDENT) |
| Authorized Official Telephone | 5027536004 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 220180 | PA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Elmcroft of Mid Valley | Doing Business As Name - Organization |
| Street Address |
89 STURGES RD |
| City | PECKVILLE |
| State | PA |
| Zip Code | 18452-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134517378 | Mid Valley Operations LLC | Assisted Living Facility | 89 Sturges Rd, Peckville, PA 18452-1302 | 2014-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275718363 | Eugene Marchegiani Jr. | Chiropractor | 440 Keystone Ave, Peckville, PA 18452 | 2008-01-08 |
| 1598745499 | Anthony William Freda | Internal Medicine | 320 Keystone Ave, Peckville, PA 18452 | 2006-01-18 |
| 1396140505 | William John Antognoli | Pathology | 613 Main Street, Peckville, PA 18452 | 2014-10-30 |
| 1104042043 | Joanne Ryczak | Dietitian, Registered | 1400 Main St, Mid Valley Hospital, Peckville, PA 18452 | 2007-04-18 |
| 1083714331 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 1425 Main Street, Peckville, PA 18452 | 2006-09-25 |
| 1457463275 | Cynthia G Charnetski | Optometrist | 1582 Main St, Peckville, PA 18452 | 2006-08-31 |
| 1417963844 | Angela Michelle Plominski | Specialist/Technologist | 1333 Main St, Peckville, PA 18452 | 2006-07-31 |
| 1689913196 | Keystone Independent Living | Custodial Care Facility | 202 Boulevard Ave, Peckville, PA 18452-1002 | 2013-02-04 |
| 1396253183 | Tom Horeis | Pharmacist | 3 Circle Dr, Peckville, PA 18452-1003 | 2018-01-16 |
| 1609473206 | Maura Christine Merli | Nurse Practitioner | 106 Hospital St, Peckville, PA 18452-1108 | 2020-10-06 |
| Find all providers in zip 18452 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134517378 | Mid Valley Operations LLC | Assisted Living Facility | 89 Sturges Rd, Peckville, PA 18452-1302 | 2014-12-22 |
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|---|---|---|---|---|
| 1972104883 | The Arbors At St. Barnabas IIi | Assisted Living Facility | 6005 Valencia Rd, Gibsonia, PA 15044-4827 | 2020-11-06 |
| 1710588611 | Beaver Meadows | Assisted Living Facility | 5130 Tuscarawas Rd, Beaver, PA 15009-9507 | 2020-11-06 |
| 1215549464 | Blair Personal Care Homes, Inc. | Assisted Living Facility | 1031 Mercer Rd, Beaver Falls, PA 15010-6824 | 2020-08-19 |
| 1164079166 | Snh Penn Tenant LLC | Assisted Living Facility | 950 Morgan Hwy, South Abington Township, PA 18411-8723 | 2019-08-23 |
| 1740840370 | Al One Pa Investments, LLC | Assisted Living Facility | 200 Sunrise Blvd, Exton, PA 19341-2337 | 2019-06-17 |
| 1164088456 | Allied Services Personal Care Center | Assisted Living Facility | 260 S Meade St, Wilkes Barre, PA 18702-6221 | 2019-05-13 |
| 1396215158 | Atl Community Living LLC | Assisted Living Facility | 5231 Locust St, Philadelphia, PA 19139-4020 | 2018-12-04 |
| 1346718988 | Pleasant Ridge Mature Living | Assisted Living Facility | 981 Pleasant Hill Rd, Leechburg, PA 15656-8390 | 2018-11-12 |
| 1558855627 | Firely Adult Homes Inc. | Assisted Living Facility | 207 Beechwood Rd, Norristown, PA 19401-1301 | 2018-06-21 |
| 1710474838 | Sabrina Lynn Scott Sr. | Assisted Living Facility | 114 Smithfield St, Pittsburgh, PA 15222-2248 | 2018-04-13 |
| 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.