# PENNWOOD OPERATOR LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Village at Pennwood
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306137088
- **Authorized official:** MR. STACEY PAUL ROGERS (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (502) 429-8062

## Contact information

- **Practice address:** 909 WEST ST, PITTSBURGH, PA 15221-2833
- **Practice address phone:** (412) 723-3662
- **Practice address fax:** (412) 723-3666
- **Mailing address:** 7400 NEW LA GRANGE RD, SUITE 100, LOUISVILLE, KY 40222-4870
- **Mailing address phone:** (502) 429-8062
- **Mailing address fax:** (502) 429-5980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 016002 | PA | Yes |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 12/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1026079820001 | — | PA |