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Sugar Creek Rest, Ltd Ptr

Nursing Facility/Intermediate Care Facility in Worthington, PA · enumerated 2005 · authorized official Steven Tack, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386637809

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Registry record

Entity type Organization (Type 2)
Legal business name Sugar Creek Rest, Ltd Ptr
Practice address 120 Lakeside Dr, Worthington, PA, 16262
Fax (724) 445-3186
Enumeration date Aug 30, 2005
Last updated in NPPES Aug 14, 2014

Taxonomy & classification

313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License 195002 (PA) Primary

Authorized official

Name Steven Tack
Title Ceo

Other identifiers

Identifier Type State Issuer
000966807001 Medicaid PA -
1039012 Other PA GATEWAY HP
111736 Other PA UNISON
0613 Other - HIGHMARK BC
263510 Other PA HEALTH AMERICA
209144 Other - UPMC
0240400001 Other MA NHIC,CORP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-08-14. Verify at npiregistry.cms.hhs.gov.
Where is Sugar Creek Rest, Ltd Ptr located?
The practice location on file with NPPES is in Worthington, PA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-14.