# GUARDIAN ELDER CARE AT SHIPPENVILLE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Shippenville Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134672900
- **Authorized official:** ARMANDO FORTUNATO (CFO)
- **Authorized official phone:** (814) 265-1164

## Contact information

- **Practice address:** 21158 PAINT BLVD, SHIPPENVILLE, PA 16254-4024
- **Practice address phone:** (814) 226-5660
- **Mailing address:** 8796 ROUTE 219, BROCKWAY, PA 15824-6010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2016
- **Last updated:** 05/18/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103170606-0001 | — | PA |