EMBASSY OF TUNKHANNOCK LLC
NPI 1780436410
Skilled Nursing Facility in Tunkhannock, PA

Active since April 04, 2024CLIA 39D0889163 · Waiver
30 VIRGINIA DR, TUNKHANNOCK, PA 18657(216) 378-2050 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Embassy Of Tunkhannock Llc NPPES

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

EMBASSY OF TUNKHANNOCK LLC (NPI 1780436410), doing business as Embassy Of Tunkhannock, is a healthcare organization registered as a skilled nursing facility in Tunkhannock, Pennsylvania and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through July 20, 2028 and lists Nicholas Ciccone, Chief Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1780436410
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEMBASSY OF TUNKHANNOCK LLC
Location Address30 VIRGINIA DRTunkhannock, PA 18657-1701
Mailing Address25201 Chagrin Blvd Ste 190Beachwood, OH 44122-5633
Organization SubpartNo
Authorized OfficialNicholas CicconeChief Compliance Officer · (216) 378-2050
Enumeration DateApril 4, 2024
NPPES CertifiedApril 4, 2024
NPI 1780436410 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.
30 VIRGINIA DR, Tunkhannock, PA 18657

Other Names 1

Doing Business AsEmbassy Of Tunkhannock

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0889163

Embassy Of Tunkhannock, LLC · Tunkhannock, PA
Active · expires Jul 20, 2028
CLIA Number39D0889163
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorDr. Samuel A. Valenti
Laboratory Phone(570) 836-5166
Laboratory LocationEmbassy Of Tunkhannock, LLC30 Virginia Drive, Tunkhannock, PA 18657
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
30 VIRGINIA DR
TUNKHANNOCK, PA 18657
Skilled Nursing Facility
30 VIRGINIA DR
TUNKHANNOCK, PA 18657

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 Embassy Of Tunkhannock LLC's NPI number?

The NPI number for Embassy Of Tunkhannock LLC is 1780436410. It was assigned to this organization in the NPPES registry on April 4, 2024. The provider is doing business as Embassy of Tunkhannock.

Where is Embassy Of Tunkhannock LLC located?

Embassy Of Tunkhannock LLC is located at 30 Virginia Dr, Tunkhannock, PA 18657. The listed phone number is (216) 378-2050.

What is Embassy Of Tunkhannock LLC's specialty?

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

Does Embassy Of Tunkhannock LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0889163) is associated with this NPI, valid through July 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Embassy Of Tunkhannock LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Embassy Of Tunkhannock LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Embassy Of Tunkhannock LLC was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.