Provider Demographics
NPI:1407952765
Name:KRAMM HEALTHCARE CENTER, INC.
Entity Type:Organization
Organization Name:KRAMM HEALTHCARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-742-2681
Mailing Address - Street 1:743 MAHONING ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:PA
Mailing Address - Zip Code:17847-2232
Mailing Address - Country:US
Mailing Address - Phone:570-742-2681
Mailing Address - Fax:570-742-6295
Practice Address - Street 1:743 MAHONING ST
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:PA
Practice Address - Zip Code:17847-2232
Practice Address - Country:US
Practice Address - Phone:570-742-2681
Practice Address - Fax:570-742-6295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA379902314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008937290001Medicaid
PA395570Medicare ID - Type Unspecified