1201 Rural Avenue Operations LLC
NPI 1932381258ActiveOrganization· Skilled Nursing Facility· Williamsport, PA
Skilled Nursing Facility in Williamsport, Pennsylvania, registered in NPPES in November 2007. The authorized official on file is Michael T. Berg, Secretary.
Overview
| NPI | 1932381258 |
|---|---|
| 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 | 185502 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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