Provider Demographics
NPI:1831189968
Name:CENTRAL PENNSYLVANIA NURSING ALLIANCE INC
Entity type:Organization
Organization Name:CENTRAL PENNSYLVANIA NURSING ALLIANCE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZELLERS
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:717-859-1191
Mailing Address - Street 1:604 OAK ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:PA
Mailing Address - Zip Code:17501-1489
Mailing Address - Country:US
Mailing Address - Phone:717-859-1191
Mailing Address - Fax:717-859-4873
Practice Address - Street 1:604 OAK ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:PA
Practice Address - Zip Code:17501-1489
Practice Address - Country:US
Practice Address - Phone:717-859-1191
Practice Address - Fax:717-859-4873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA390702314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016657370002Medicaid
PA0016657370002Medicaid