2900 Twelfth Street North Llc in Kennett Square - Skilled Nursing Facility
2900 Twelfth Street North Llc - NPI 1275556383
2900 Twelfth Street North Llc is a Skilled Nursing Facility in Kennett Square, Pennsylvania. 2900 Twelfth Street North Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for 2900 Twelfth Street North Llc is 1275556383. The last update date is 2016-01-04.
2900 Twelfth Street North Llc's current location address is 101 E State St, Kennett Square, Pennsylvania. You can contact this provider via phone number 5054684742 and fax number 5054688742. The mailing address for 2900 Twelfth Street North Llc is 101 E State St, Kennett Square, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 2900 Twelfth Street North Llc |
|---|---|
| Address | 101 E State St, Kennett Square, Pennsylvania |
| Phone Number | 5054684742 |
| Fax Number | 5054688742 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Berg Tennessee Michael |
| Telephone Number | 5054684742 |
NPI Number Detail
| NPI Number | 1275556383 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2016-01-04 |
Provider Mailing Address Detail
| Address | 101 E State St |
|---|---|
| City | Kennett Square |
| State | Pennsylvania (PA) |
| Post Code | 193483109 |
| Phone Number | 5054684742 |
| Fax Number | 5054688742 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | SNF 12840962 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25684600 | FL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to 2900 Twelfth Street North Llc?
The 2900 Twelfth Street North Llc has been issued the NPI (National Provider Identifier) 1275556383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where 2900 Twelfth Street North Llc is physically located?
The 2900 Twelfth Street North Llc is situated at the following address: 101 E State St, Kennett Square, PA 193483109.
What is 2900 Twelfth Street North Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for 2900 Twelfth Street North Llc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the 2900 Twelfth Street North Llc receive its 1275556383 assignment from the Centers for Medicare & Medicaid Services?
The 2900 Twelfth Street North Llc was assigned its 1275556383 by the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date were the details pertaining to 2900 Twelfth Street North Llc last refreshed?
The information related to the 2900 Twelfth Street North Llc, including its address, specialty, and other relevant details, was last updated on 2016-01-04.