ANGEL HEARTS PEDIATRIC CARE, LLC
NPI 1063800712
Skilled Nursing Facility in Shamokin, PA

Active since January 05, 2015
44 E INDEPENDENCE ST, SHAMOKIN, PA 17872(570) 648-6100(570) 648-6104 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angel Hearts Pediatric Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL HEARTS PEDIATRIC CARE, LLC (NPI 1063800712) is a healthcare organization registered as a skilled nursing facility in Shamokin, Pennsylvania and active in the NPI registry since January 2015. The organization lists Ricky J Long, Authorized Ofiicial, as its authorized official.

NPPES Registry Identity

NPI1063800712
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameANGEL HEARTS PEDIATRIC CARE, LLC
Location Address44 E INDEPENDENCE STShamokin, PA 17872-6804
Mailing Address44 E Independence StShamokin, PA 17872-6804 · (570) 648-6100 · Fax (570) 648-6104
Fax(570) 648-6104
Organization SubpartNo
Authorized OfficialRicky J LongAuthorized Ofiicial · (570) 875-9094
Enumeration DateJanuary 5, 2015
Last NPPES UpdateJuly 1, 2015
NPI 1063800712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in PA · 05640501
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
44 E INDEPENDENCE ST, Shamokin, PA 17872

Other Identifiers 1

Medicaid1029803430001PA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Hearts Pediatric Care, LLC's NPI number?

The NPI number for Angel Hearts Pediatric Care, LLC is 1063800712. It was assigned to this organization in the NPPES registry on January 5, 2015.

Where is Angel Hearts Pediatric Care, LLC located?

Angel Hearts Pediatric Care, LLC is located at 44 E Independence St, Shamokin, PA 17872. The listed phone number is (570) 648-6100.

What is Angel Hearts Pediatric Care, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Angel Hearts Pediatric Care, LLC was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.