810 South Broom Street Operations Llc in Kennett Square - Skilled Nursing Facility
810 South Broom Street Operations Llc - NPI 1982886636
810 South Broom Street Operations Llc is a Skilled Nursing Facility in Kennett Square, Pennsylvania. 810 South Broom Street Operations Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for 810 South Broom Street Operations Llc is 1982886636. The last update date is 2020-04-09.
810 South Broom Street Operations Llc's current location address is 101 E State St, Kennett Square, Pennsylvania. You can contact this provider via phone number 6109254436 and fax number 6109254351. The mailing address for 810 South Broom Street Operations Llc is 101 E State St, Kennett Square, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | 810 South Broom Street Operations Llc |
|---|---|
| Address | 101 E State St, Kennett Square, Pennsylvania |
| Phone Number | 6109254436 |
| Fax Number | 6109254351 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Berg T Michael |
| Telephone Number | 5054684742 |
NPI Number Detail
| NPI Number | 1982886636 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2020-04-09 |
Provider Mailing Address Detail
| Address | 101 E State St |
|---|---|
| City | Kennett Square |
| State | Pennsylvania (PA) |
| Post Code | 193483109 |
| Phone Number | 6109254436 |
| Fax Number | 6109254351 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1070 |
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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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What is the 810 South Broom Street Operations Llc's unique identification number?
The 810 South Broom Street Operations Llc has been assigned the NPI (National Provider Identifier) Number 1982886636 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of 810 South Broom Street Operations Llc?
The 810 South Broom Street Operations Llc is situated at 101 E State St, in the city of Kennett Square, state of PA, with the zip code 193483109.
What is the 810 South Broom Street Operations Llc's area of specialization and corresponding taxonomy classification?
The 810 South Broom Street Operations Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date was the 1982886636 assigned to 810 South Broom Street Operations Llc?
The 810 South Broom Street Operations Llc was issued its 1982886636 on 2007-12-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding 810 South Broom Street Operations Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to 810 South Broom Street Operations Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-04-09.
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