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THE VILLA ASSISTED LIVING LLC NPI 1669776563


NPI Information

NPI: 1669776563
Provider Name: THE VILLA ASSISTED LIVING, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 39D2296256

Address:
322 WARREN ST
SUITE 300
JOHNSTOWN, PA
ZIP 15905
Phone: (814) 288-1418
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THE VILLA ASSISTED LIVING, LLC is an assisted living facility in Johnstown, PA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. THE VILLA ASSISTED LIVING, LLC NPI is 1669776563. The provider is registered as an organization entity type.

The provider's business location address is:

322 WARREN ST
SUITE 300
JOHNSTOWN, PA
ZIP 15905-443
Phone: (814) 288-1418
Fax: (814) 288-1525

The provider's authorized official is Richard M Kastelic .
The authorized official title is Member/owner and has the following contact phone number (814) 254-4514.

The CLIA number assigned to this NPI record is 39D2296256 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2011 and was last updated on 1/6/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility328361PENNSYLVANIAYes

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: 4/28/2024

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