Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1184672685
Guardian Elder Care At Forksville Llc
Organization Subpart: NO
Active
NPI Number1184672685
NPI TypeNPI-2 Organization
SpecialtySkilled Nursing Facility
Provider Details
NPI1184672685
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-05-05
Last Updated2020-08-25
Authorized OfficialMichael Eperesi
CFO
Phone: 8142651164
Mailing Address8796 Route 219
Brockway, PA 15824-6010
United States
📍 View Map
Primary Practice Address5865 Route 154
Forksville, PA 18616-8912
United States
Phone: (570) 924-3411
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDPA101058803-0001-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No314000000X – Skilled Nursing FacilityPA040102
Yes314000000X – Skilled Nursing Facility--
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About NPI 1184672685

Guardian Elder Care At Forksville Llc is an organization registered in the CMS NPPES NPI Registry with NPI number 1184672685. The primary specialty listed is Skilled Nursing Facility. The organization is located in Forksville, PA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1184672685?

NPI 1184672685 belongs to Guardian Elder Care At Forksville Llc, a Skilled Nursing Facility in Forksville, PA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1184672685 active?

The current status of NPI 1184672685 in the NPPES registry is Active. The record was last updated on 2020-08-25.

What specialty is NPI 1184672685?

NPI 1184672685 is classified under the taxonomy Skilled Nursing Facility. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1184672685?

You can verify NPI 1184672685 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1184672685?

The primary practice address on file for NPI 1184672685 is 5865 Route 154, Forksville, PA 18616-8912. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1184672685 issued?

NPI 1184672685 was first issued (enumerated) on 2006-05-05. The NPPES record was last updated on 2020-08-25.

Practice Location Map

Guardian Elder Care At Forksville Llc is located at 5865 Route 154, Forksville, PA. Use the map below to find directions or verify the practice location.

📍 5865 Route 154, Forksville, PA 18616-8912  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Guardian Elder Care At Forksville Llc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1184672685. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Skilled Nursing Facility040102PA
Data Verified from CMS NPPES Last synced: 2026-08-26 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162