# BEVERLY ENTERPRISES - PENNSYLVANIA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BEVERLY HEALTH AND REHABILITATION SERVICES, INC
- **Other names:** Beverly LivingCenter - Mountain View
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881637551
- **Legal business name:** BEVERLY HEALTH AND REHABILITATION SERVICES, INC
- **Authorized official:** HOLLY A RASMUSSEN-JONES (SECRETARY)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 383 MOUNTAIN VIEW DRIVE, HILLSDALE, PA 15746
- **Practice address phone:** (814) 743-6613
- **Mailing address:** 383 MOUNTAIN VIEW DRIVE, HILLSDALE, PA 15746
- **Mailing address phone:** (814) 743-6613

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 06/19/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000077080 | TRHP | PA |
| 01 | — | 0644 | HIGHMARK | PA |
| 05 | — | 1126689 | — | PA |
| 01 | — | 126206 | HEALTHAMERICA | PA |
| 01 | — | 1505672 | GATEWAY | PA |
| 01 | — | 523594 | AETNA | PA |