Provider Demographics
NPI:1205080686
Name:HCR MANOR CARE
Entity type:Organization
Organization Name:HCR MANOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST ASSIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NESTER
Authorized Official - Suffix:
Authorized Official - Credentials:COTA/L
Authorized Official - Phone:412-824-8244
Mailing Address - Street 1:1100 PENN CENTER BLVD
Mailing Address - Street 2:SUITE #1111
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-5312
Mailing Address - Country:US
Mailing Address - Phone:412-824-8244
Mailing Address - Fax:
Practice Address - Street 1:1100 PENN CENTER BLVD
Practice Address - Street 2:SUITE 1111
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5312
Practice Address - Country:US
Practice Address - Phone:412-824-8244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP000725L314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility