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SUGAR CREEK REST, LTD PTR
NPI 1386637809
Nursing Facility/Intermediate Care Facility in Worthington, PA

Active since August 30, 2005
120 LAKESIDE DR, WORTHINGTON, PA 16262(724) 445-3146(724) 445-3186 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sugar Creek Rest, Ltd Ptr NPPES

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

SUGAR CREEK REST, LTD PTR (NPI 1386637809) is a healthcare organization registered as a nursing facility/intermediate care facility in Worthington, Pennsylvania and active in the NPI registry since August 2005. The organization lists Steven D Tack, Ceo, as its authorized official.

NPPES Registry Identity

NPI1386637809
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameSUGAR CREEK REST, LTD PTR
Location Address120 LAKESIDE DRWorthington, PA 16262-5102
Mailing Address120 Lakeside DrWorthington, PA 16262-5102 · (724) 445-3146 · Fax (724) 445-3186
Phone(724) 445-3146
Fax(724) 445-3186
Organization SubpartNo
Authorized OfficialSteven D TackCeo · (724) 431-0770
Enumeration DateAugust 30, 2005
Last NPPES UpdateAugust 14, 2014
✔ NPI 1386637809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in PA · 195002
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
120 LAKESIDE DR, Worthington, PA 16262
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Other Identifiers 8

Other111736PA · Unison
Other209144Upmc
Other1039012PA · Gateway Hp
Other0240400001MA · Nhic,corp
Medicaid000966807001PA
Other263510PA · Health America
Medicare ID-Type Unspecified395410
Other0613Highmark Bc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUALITY LIFE SERVICES - SUGAR CREEK, LLC
Skilled Nursing Facility
120 LAKESIDE DR
WORTHINGTON, PA 16262
Armstrong County (724) 445-3000

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 Sugar Creek Rest, Ltd Ptr's NPI number?

The NPI number for Sugar Creek Rest, Ltd Ptr is 1386637809. It was assigned to this organization in the NPPES registry on August 30, 2005.

Where is Sugar Creek Rest, Ltd Ptr located?

Sugar Creek Rest, Ltd Ptr is located at 120 Lakeside Dr, Worthington, PA 16262. The listed phone number is (724) 445-3146.

What is Sugar Creek Rest, Ltd Ptr's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Sugar Creek Rest, Ltd Ptr was last updated on August 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.