# ELLEN MEMORIAL HEALTH CARE CENTER

> 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:** 1366446288
- **Authorized official:** MR. ROBERT G ZABADY (ADMINISTRATOR)
- **Authorized official phone:** (570) 253-5690

## Contact information

- **Practice address:** 23 ELLEN MEMORIAL LN, HONESDALE, PA 18431-4096
- **Practice address phone:** (570) 253-5690
- **Practice address fax:** (570) 253-9471
- **Mailing address:** 23 ELLEN MEMORIAL LN, HONESDALE, PA 18431-4096
- **Mailing address phone:** (570) 253-5690
- **Mailing address fax:** (570) 253-9471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 318502 | PA | Yes |

## Other

- **Enumeration date:** 06/09/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007554460002 | — | PA |
| 05 | — | 00560132 | — | NY |