Provider Demographics
NPI:1750360285
Name:KRAMM NURSING HOME, INC.
Entity type:Organization
Organization Name:KRAMM NURSING HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:WARFEL
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:570-538-2561
Mailing Address - Street 1:245 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WATSONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17777-1033
Mailing Address - Country:US
Mailing Address - Phone:570-538-2561
Mailing Address - Fax:570-538-1595
Practice Address - Street 1:245 E 8TH ST
Practice Address - Street 2:
Practice Address - City:WATSONTOWN
Practice Address - State:PA
Practice Address - Zip Code:17777-1033
Practice Address - Country:US
Practice Address - Phone:570-538-2561
Practice Address - Fax:570-538-1595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA110702314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007472660001Medicaid
PA0007472660001Medicaid