Provider Demographics
NPI:1770571341
Name:ST. BARNABAS NURSING HOME, INC.
Entity type:Organization
Organization Name:ST. BARNABAS NURSING HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:724-443-0700
Mailing Address - Street 1:5827 MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9404
Mailing Address - Country:US
Mailing Address - Phone:724-443-0700
Mailing Address - Fax:724-443-5611
Practice Address - Street 1:5827 MERIDIAN RD
Practice Address - Street 2:
Practice Address - City:GIBSONIA
Practice Address - State:PA
Practice Address - Zip Code:15044-9404
Practice Address - Country:US
Practice Address - Phone:724-443-0700
Practice Address - Fax:724-443-5611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-07
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1012019460001314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012019460001Medicaid
PAS7953OtherBC OF MICHIGAN
PA0549OtherBLUE CROSS SEC BLUE
PA96453OtherMEDPLUS
PA96453OtherMEDPLUS
PA1012019460001Medicaid