# SCOTTDALE MANOR REHABILITATION CENTER LLC

> 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
- **Other names:** Scottdale Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952359457
- **Authorized official:** MICHAEL EPERESI (CFO)
- **Authorized official phone:** (814) 265-1164

## Contact information

- **Practice address:** 900 PORTER AVE, SCOTTDALE, PA 15683-1147
- **Practice address phone:** (724) 887-0100
- **Mailing address:** 8796 ROUTE 219, BROCKWAY, PA 15824-6010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 232802 | PA | — |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/27/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001803717-0001 | — | PA |