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ASBURY ATLANTIC INC. NPI 1487643870


NPI Information

NPI: 1487643870
Provider Name: ASBURY ATLANTIC, INC.

Doing Business As: EPWORTH MANOR

Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization

Specialization: Assisted Living, Behavioral Disturbances

Address:
951 WASHINGTON AVE
925 S. LINCOLN AVENUE
TYRONE, PA
ZIP 16686
Phone: (814) 684-0320
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ASBURY ATLANTIC, INC. is an assisted living and behavioral disturbances assisted living facility in Tyrone, PA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. ASBURY ATLANTIC, INC. NPI is 1487643870. The provider is registered as an organization entity type.
The provider Is Doing Business As Epworth Manor.

The provider's business location address is:

951 WASHINGTON AVE
925 S. LINCOLN AVENUE
TYRONE, PA
ZIP 16686-426
Phone: (814) 684-0320
Fax: (814) 684-0902

The provider's authorized official is Myra L. Isenberg .
The authorized official title is Health Information Technician and has the following contact phone number (814) 684-0320.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral Disturbances314470PENNSYLVANIAYes
2314000000XSkilled Nursing Facility050802PENNSYLVANIAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11017505810001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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