# CARBON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Carbon County Nursing Home & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235134446
- **Authorized official:** MRS. LOUISE BEKISZ NHA (NURSING HOME ADMINISTRATOR)
- **Authorized official phone:** (570) 427-8683

## Contact information

- **Practice address:** 1000 EVERGREEN AVE, WEATHERLY, PA 18255-1530
- **Practice address phone:** (570) 427-8683
- **Practice address fax:** (570) 427-4988
- **Mailing address:** 1000 EVERGREEN AVE, WEATHERLY, PA 18255-1530
- **Mailing address phone:** (570) 427-8683
- **Mailing address fax:** (570) 427-4988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 030602 | PA | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 10/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 037720600 | FEDERAL BLACK LUNG | — |
| 05 | — | 1007600550014 | — | PA |
| 01 | — | CA3326 | RAILROAD MEDICARE | — |
| 01 | — | HO634394 | MEDICARE PART B | — |