# THE KEPLER HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063403046
- **Authorized official:** MR. THOMAS F PREGENT NHA (OWNER)
- **Authorized official phone:** (717) 362-8370

## Contact information

- **Practice address:** 44 S. MARKET ST., ELIZABETHVILLE, PA 17023-0680
- **Practice address phone:** (717) 362-8370
- **Practice address fax:** (717) 362-1015
- **Mailing address:** PO BOX 680, 44 S. MARKET ST., ELIZABETHVILLE, PA 17023-0680
- **Mailing address phone:** (717) 362-8370
- **Mailing address fax:** (717) 362-1015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 111002 | PA | Yes |

## Other

- **Enumeration date:** 10/31/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007573700001 | — | PA |
| 01 | — | 111002 | NURSING FACILITYPROVIDER | PA |
| 01 | — | 39E106 | FEDERAL ID NUMBER | PA |