Provider Demographics
NPI:1528057411
Name:CONESTOGA VIEW NURSING LP
Entity type:Organization
Organization Name:CONESTOGA VIEW NURSING LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ESLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:717-299-7854
Mailing Address - Street 1:900 E KING ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-3272
Mailing Address - Country:US
Mailing Address - Phone:717-299-7850
Mailing Address - Fax:717-735-2115
Practice Address - Street 1:900 E KING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-3272
Practice Address - Country:US
Practice Address - Phone:717-299-7850
Practice Address - Fax:717-735-2115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA035302313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013876410001Medicaid
PA5520930001Medicare NSC
PA395774Medicare ID - Type Unspecified