STEPHEN RODRIGUES PRESIDENT/CEO
NPI 1184396137
Assisted Living Facility in Nanty Glo, PA

Active since September 29, 2021
1075 CHESTNUT ST, NANTY GLO, PA 15943(814) 749-8799(814) 749-8799 Get Directions Write a Review

NPPES record last updated: September 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephen Rodrigues President/ceo NPPES

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

STEPHEN RODRIGUES PRESIDENT/CEO (NPI 1184396137) is an individual assisted living facility provider in Nanty Glo, Pennsylvania, licensed in Pennsylvania (327360) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1184396137
Entity TypeIndividualMale
Primary Taxonomy310400000X
Provider Legal NameSTEPHEN RODRIGUESCredential: PRESIDENT/CEO
Location Address1075 CHESTNUT STNanty Glo, PA 15943-1209
Mailing Address1075 Chestnut StNanty Glo, PA 15943-1209 · (814) 749-8799 · Fax (814) 749-8799
Fax(814) 749-8799
Sole ProprietorYes
Enumeration DateSeptember 29, 2021
NPPES CertifiedSeptember 29, 2021
NPI 1184396137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in PA · 327360
Definition

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.

1075 CHESTNUT ST, Nanty Glo, PA 15943

Other Identifiers 2

Other327360PA · Department Of Health Pa
Other327360PA · License

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184396137, enumerated as an "individual" on September 29, 2021.

The provider is located at 1075 CHESTNUT ST NANTY GLO, PA 15943 and the phone number is (814) 749-8799.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.