PENN STATE HERSHEY REHABILITATION LLC NPI 1942416946

NPI Information

  • NPI: 1942416946
  • Provider Name: PENN STATE HERSHEY REHABILITATION LLC
  • Classification: Rehabilitation Hospital - 283X00000X
  • Entity Type: Organization
  • CLIA Number: 39D1071710
  • Address: 1135 OLD WEST CHOCOLATE AVE
    HUMMELSTOWN, PA
    ZIP 17036
  • Phone: (717) 972-1100

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NPI Details

PENN STATE HERSHEY REHABILITATION LLC is a rehabilitation hospital in Hummelstown, PA. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. PENN STATE HERSHEY REHABILITATION LLC NPI is 1942416946. The provider is registered as an organization entity type.

The provider's business location address is:

1135 OLD WEST CHOCOLATE AVE
HUMMELSTOWN, PA
ZIP 17036
Phone: (717) 972-1100
Fax: (717) 975-9981

The provider's authorized official is Michael Tarvin .
The authorized official title is Vice President and has the following contact phone number (717) 972-1100.

The CLIA number assigned to this NPI record is 39D1071710 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 1/27/2016.

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
1261QP2000XClinic/CenterPhysical TherapyNo
2283X00000XRehabilitation HospitalYes

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
1393053MEDICARE OSCAR/CERTIFICATIONPENNSYLVANIA

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: 3/30/2025

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