Provider Demographics
NPI:1710643259
Name:ABINGTON CREST OPCO, LLC
Entity Type:Organization
Organization Name:ABINGTON CREST OPCO, LLC
Other - Org Name:ABINGTON CREST HEALTHCARE AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:917-295-1882
Mailing Address - Street 1:1267 S HILL RD
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-4831
Mailing Address - Country:US
Mailing Address - Phone:814-864-4081
Mailing Address - Fax:
Practice Address - Street 1:1267 S HILL RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-4831
Practice Address - Country:US
Practice Address - Phone:814-864-4081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-09
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility