Provider Demographics
NPI:1992733984
Name:UMH PA CORP.
Entity type:Organization
Organization Name:UMH PA CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PICCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:607-775-6400
Mailing Address - Street 1:209 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-3111
Mailing Address - Country:US
Mailing Address - Phone:570-655-2891
Mailing Address - Fax:570-655-3383
Practice Address - Street 1:209 ROBERTS RD
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-3111
Practice Address - Country:US
Practice Address - Phone:570-655-2891
Practice Address - Fax:570-655-3383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA750702314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007506640002Medicaid
PA0071963300002Medicaid
PA0071963300002Medicaid
PA395602Medicare PIN