# ST. MARY'S VILLA NURSING HOME, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1104829571
- **Authorized official:** LINDA KANARR NHA (CEO)
- **Authorized official phone:** (570) 842-7621

## Contact information

- **Practice address:** 516 SAINT MARYS VILLA RD, ELMHURST TOWNSHIP, PA 18444-9683
- **Practice address phone:** (570) 842-7621
- **Practice address fax:** (570) 842-2953
- **Mailing address:** 516 SAINT MARYS VILLA RD, ELMHURST TOWNSHIP, PA 18444-9683
- **Mailing address phone:** (570) 842-7621
- **Mailing address fax:** (570) 842-2953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 711502 | PA | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 11/19/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0754940 | — | PA |