LUTHERAN HOME AT KANE PENNSYLVANIA
Skilled Nursing Facility
Kane, Pennsylvania
Provider NPI: 1457355091
Organization Information:Organization Name: LUTHERAN HOME AT KANE PENNSYLVANIA
Practice Location:
100 HIGH POINT DRIVE KANE, PA 16735 US
Tel: 814-837-6706 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
100 HIGH POINT DRIVE KANE, PA 16735 US
Tel: 814-837-6706 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 902802 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
AMERIHEALTH MERCY HEALTH PLAN | 30015545 | PA | 01 |
HUMANA | 000065056X | PA | 01 |
GATEWAY HEALTH PLAN | 1603554 | PA | 01 |
UPMC | 729732 | PA | 01 |
HIGHMARK | 1217 | PA | 01 |
1003684090004 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin