SHENANDOAH MANOR NURSING CENTER
NPI 1497757710
Skilled Nursing Facility in Shenandoah, PA

NPI Status: Active since June 01, 2005

Contact Information

101 E WASHINGTON ST
SHENANDOAH, PA
ZIP 17976
Phone: (570) 462-1908
Fax: (570) 462-1457

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  • Organization
  • Skilled Nursing Facility

About SHENANDOAH MANOR NURSING CENTER

This page provides the complete NPI Profile along with additional information for Shenandoah Manor Nursing Center, a provider established in Shenandoah, Pennsylvania operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1497757710 assigned on June 2005. The practitioner's primary taxonomy code is 314000000X with license number 190102 (PA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Shenandoah Manor Nursing Center. The authorized official of this NPI record is David W Klingerman (President)

NPI
1497757710
Provider Legal Name
SMNRC, LP
Other Organization Name
SHENANDOAH MANOR NURSING CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
101 E WASHINGTON ST SHENANDOAH, PA 17976
Location Phone
(570) 462-1908
Location Fax
(570) 462-1457
Mailing Address
101 E WASHINGTON ST SHENANDOAH, PA 17976
Mailing Phone
(570) 462-1908
Mailing Fax
(570) 462-1457
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2005
Last Update Date
09-07-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
License No.
190102
License State
PA
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID W KLINGERMAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(570) 784-0111

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
395556MEDICARE OSCAR/CERTIFICATION (06)PA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497757710
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871451472
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 4 + 5 + 1 + 4 + 7 + 2 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1497757710 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962603605MS. ALEXINE M RAJNIC CCC SLP
Individual
Speech-Language Pathologist101 E WASHINGTON ST SHENANDOAH MANOR NURSING HOME
SHENANDOAH, PA 17976
(570) 462-1910
1629557129 TAMMY LEE FALLS SLP
Individual
Speech-Language Pathologist101 E WASHINGTON ST
SHENANDOAH, PA 17976
(570) 462-1908
1104305598 MELISSA K FARLEY
Individual
Occupational Therapist101 E WASHINGTON ST
SHENANDOAH, PA 17976
(570) 462-1908
1407580442SHENANDOAH OPCO LLC
Organization
Skilled Nursing Facility101 E WASHINGTON ST
SHENANDOAH, PA 17976
(848) 757-0500
1982321170 BRITTANY MARIE SCHENCK
Individual
Speech-Language Pathologist101 E WASHINGTON ST
SHENANDOAH, PA 17976
(570) 462-1908
1821583014 RYAN HORNE OTR
Individual
Occupational Therapist101 E WASHINGTON ST
SHENANDOAH, PA 17976
(570) 462-1908

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497757710, enumerated in the NPI registry as an "organization" on June 01, 2005

The provider is located at 101 E Washington St Shenandoah, Pa 17976 and the phone number is (570) 462-1908

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 01, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.