208 PENNKNOLL ROAD OPCO LLC
NPI 1710795661
Skilled Nursing Facility in Everett, PA

Active since December 24, 2024
208 PENNKNOLL RD, EVERETT, PA 15537(814) 623-3200(814) 623-3202 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 10, 2025, Feb 28, 2025, Dec 24, 2024 (3 updates tracked since 2024).

About 208 Pennknoll Road Opco Llc NPPES

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

208 PENNKNOLL ROAD OPCO LLC (NPI 1710795661), doing business as Pennknoll Village, is a healthcare organization registered as a skilled nursing facility in Everett, Pennsylvania and active in the NPI registry since December 2024. The organization lists Tiffany Hoback, Manager, as its authorized official.

NPPES Registry Identity

NPI1710795661
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name208 PENNKNOLL ROAD OPCO LLC
Location Address208 PENNKNOLL RDEverett, PA 15537-6940
Mailing Address208 Pennknoll RdEverett, PA 15537-6940 · (814) 623-3200 · Fax (814) 623-3202
Fax(814) 623-3202
Organization SubpartNo
Authorized OfficialTiffany HobackManager · (770) 698-9040
Enumeration DateDecember 24, 2024
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1710795661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
208 PENNKNOLL RD, Everett, PA 15537

Other Names 1

Doing Business AsPennknoll Village

Other Providers at the Same Location NPPES 19

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

Speech-Language Pathologist
208 PENNKNOLL RD
EVERETT, PA 15537
Skilled Nursing Facility
208 PENNKNOLL RD
EVERETT, PA 15537
Skilled Nursing Facility
208 PENNKNOLL RD
EVERETT, PA 15537
Physical Therapy Assistant
208 PENNKNOLL RD
EVERETT, PA 15537
Speech-Language Pathologist
208 PENNKNOLL RD
EVERETT, PA 15537
Physical Therapy Assistant
208 PENNKNOLL RD
EVERETT, PA 15537
Physical Therapy Assistant
208 PENNKNOLL RD
EVERETT, PA 15537
Occupational Therapy Assistant
208 PENNKNOLL RD
EVERETT, PA 15537

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 208 Pennknoll Road Opco LLC's NPI number?

The NPI number for 208 Pennknoll Road Opco LLC is 1710795661. It was assigned to this organization in the NPPES registry on December 24, 2024. The provider is doing business as Pennknoll Village.

Where is 208 Pennknoll Road Opco LLC located?

208 Pennknoll Road Opco LLC is located at 208 Pennknoll Rd, Everett, PA 15537. The listed phone number is (814) 623-3200.

What is 208 Pennknoll Road Opco 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 208 Pennknoll Road Opco LLC was last updated on March 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.