COUNTRY MANOR LIVING NPI 1245493816

NPI Information

  • NPI: 1245493816
  • Provider Name: COUNTRY MANOR LIVING
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Organization
  • Address: 170 PHILLIPS ST
    JEROME, PA
    ZIP 15937
  • Phone: (814) 479-2355

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NPI Details

COUNTRY MANOR LIVING is a nursing care in Jerome, PA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. COUNTRY MANOR LIVING NPI is 1245493816. The provider is registered as an organization entity type.

The provider's business location address is:

170 PHILLIPS ST
JEROME, PA
ZIP 15937-430
Phone: (814) 479-2355
Fax: (814) 479-4047

The provider's authorized official is Lorie Ann Hornick .
The authorized official title is Administrator and has the following contact phone number (814) 479-2355.

The enumeration date for this NPI number is 7/3/2008 and was last updated on 7/3/2008.

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
1251J00000XNursing Care001320PENNSYLVANIAYes

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: 11/21/2025

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