Provider Demographics
NPI:1144903865
Name:GREENVILLE REHABILITATION & NURSING LLC
Entity type:Organization
Organization Name:GREENVILLE REHABILITATION & NURSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-881-9402
Mailing Address - Street 1:110 FREDONIA RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16125-7911
Mailing Address - Country:US
Mailing Address - Phone:724-588-8090
Mailing Address - Fax:
Practice Address - Street 1:110 FREDONIA RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:PA
Practice Address - Zip Code:16125-7911
Practice Address - Country:US
Practice Address - Phone:724-588-8090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility