Basic Information
| Provider Information | |||||||||
| NPI: | 1164040168 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MOUNTAIN VIEW SNF OPERATIONS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2050 TREVORTON ROAD | ||||||||
| Address2: | |||||||||
| City: | COAL TOWNSHIP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178669405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5706444400 | ||||||||
| FaxNumber: | 5706444403 | ||||||||
| Practice Location | |||||||||
| Address1: | 2050 TREVORTON ROAD | ||||||||
| Address2: | |||||||||
| City: | COAL TOWNSHIP | ||||||||
| State: | PA | ||||||||
| PostalCode: | 178669405 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5706444400 | ||||||||
| FaxNumber: | 5706444403 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2020 | ||||||||
| LastUpdateDate: | 07/07/2020 | ||||||||
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| AuthorizedOfficialLastName: | STEG | ||||||||
| AuthorizedOfficialFirstName: | CHAIM | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7322679679 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MR. | ||||||||
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| NPICertificationDate: | 07/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.