Willow Terrace in Phila - Skilled Nursing Facility
Willow Terrace - NPI 1235138587
Willow Terrace is a Skilled Nursing Facility in Phila, Pennsylvania. Willow Terrace practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Willow Terrace is 1235138587. The last update date is 2020-08-22.
Willow Terrace's current location address is 1 Penn Blvd, Phila, Pennsylvania. You can contact this provider via phone number 2154566611 and fax number 2154574304. The mailing address for Willow Terrace is 1 Penn Blvd, Phila, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willow Terrace |
|---|---|
| Address | 1 Penn Blvd, Phila, Pennsylvania |
| Phone Number | 2154566611 |
| Fax Number | 2154574304 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CORP. DIRE |
|---|---|
| Authorized Official Name | Russo Samuel |
| Telephone Number | 2154566611 |
NPI Number Detail
| NPI Number | 1235138587 |
|---|---|
| Provider Enumeration Date | 2005-07-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1 Penn Blvd |
|---|---|
| City | Phila |
| State | Pennsylvania (PA) |
| Post Code | 191441476 |
| Phone Number | 2154566611 |
| Fax Number | 2154574304 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 72102 |
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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 |
|---|---|---|---|
| 1007544140014 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Willow Terrace by the Centers for Medicare & Medicaid Services?
The Willow Terrace has been assigned the NPI (National Provider Identifier) 1235138587 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Willow Terrace is physically located?
The Willow Terrace is physically situated at the following address: 1 Penn Blvd, Phila, PA, 191441476.
What is the Willow Terrace's specialty and taxonomy code?
The Willow Terrace's specialty is Skilled Nursing Facility, and the corresponding taxonomy code is 314000000X.
On what date did the Willow Terrace receive the assignment of its 1235138587 from the Centers for Medicare & Medicaid Services?
The Willow Terrace was issued its 1235138587 by the Centers for Medicare & Medicaid Services on 2005-07-19.
When was the information regarding Willow Terrace most recently updated?
The details pertaining to the Willow Terrace, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.