Provider Demographics
NPI:1043213986
Name:TRANSITIONS HEALTHCARE NORTH HUNTINGDON LLC
Entity Type:Organization
Organization Name:TRANSITIONS HEALTHCARE NORTH HUNTINGDON LLC
Other - Org Name:TRANSITIONS HEALTHCARE NORTH HUNTINGDON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:R
Authorized Official - Last Name:MAURANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-654-4036
Mailing Address - Street 1:8850 BARNES LAKE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642
Mailing Address - Country:US
Mailing Address - Phone:724-864-7190
Mailing Address - Fax:724-864-6063
Practice Address - Street 1:8850 BARNES LAKE RD
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642
Practice Address - Country:US
Practice Address - Phone:724-864-7190
Practice Address - Fax:724-864-6063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-24
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA020102314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA395585Medicare ID - Type Unspecified
PA395585Medicare ID - Type Unspecified