100 W Queen Street Operations LLC
NPI 1336859040 · Skilled Nursing Facility · Dallastown, PA
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
100 W Queen Street Operations LLC is a Skilled Nursing Facility organization in Dallastown, PA (NPI 1336859040).
Provider details
- NPI number
- 1336859040
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Genesis Pm PA Operations LLC
- Organization subpart
- Yes
- Authorized official
- Michael Berg, Asst Secretary(505) 468-4742
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dallastown Skilled Nursing and Rehabilitation Center
- Doing business as
- Dallastown Skilled Nursing and Rehabilitation Center
Registry dates
- Enumerated
- 2022-12-05
- Last updated
- 2023-01-06
- Certified
- 2023-01-06
Frequently asked questions
- What is 100 W Queen Street Operations LLC's NPI number?
- 100 W Queen Street Operations LLC's National Provider Identifier (NPI) is 1336859040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 100 W Queen Street Operations LLC?
- 100 W Queen Street Operations LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is 100 W Queen Street Operations LLC located?
- 100 W Queen Street Operations LLC's practice location on file with NPPES is 100 W Queen St, Dallastown, PA 17313-2133.
- What is 100 W Queen Street Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for 100 W Queen Street Operations LLC is (610) 444-6350.
- Does 100 W Queen Street Operations LLC accept Medicare?
- 100 W Queen Street Operations LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 100 W Queen Street Operations LLC?
- The authorized official listed on 100 W Queen Street Operations LLC's NPPES record is Michael Berg, Asst Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 100 W Queen Street Operations LLC's NPI active?
- Yes — 100 W Queen Street Operations LLC's NPI (1336859040) is active in the NPPES registry as of the last update on 2023-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.