125 Holly Road Operations LLC
NPI 1356523666ActiveOrganization· Skilled Nursing Facility· Hamburg, PA
Skilled Nursing Facility in Hamburg, Pennsylvania, registered in NPPES in November 2007. The authorized official on file is Michael T. Berg, Secretary. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1356523666 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2007 |
| Last updated in NPPES | Jun 26, 2025 |
| Certified by provider | Jun 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 123902 | PA |
| Assisted Living Facility | 310400000X | 222020 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (PA) |
|---|
Other Skilled Nursing Facility providers in Hamburg
- 1396692349
- 1922040500