Evangelical Manor in Philadelphia - Skilled Nursing Facility
Evangelical Manor - NPI 1043207152
Evangelical Manor is a Skilled Nursing Facility in Philadelphia, Pennsylvania. Evangelical Manor practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evangelical Manor is 1043207152. The last update date is 2020-08-22.
Evangelical Manor's current location address is 8401 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156245800 and fax number 2153351477. The mailing address for Evangelical Manor is 8401 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evangelical Manor |
|---|---|
| Address | 8401 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2156245800 |
| Fax Number | 2153351477 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lachman Suzanne |
| Credentials | NHA |
| Telephone Number | 2156245800 |
NPI Number Detail
| NPI Number | 1043207152 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8401 Roosevelt Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191522034 |
| Phone Number | 2156245800 |
| Fax Number | 2153351477 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 311202 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7449700001 | PA | -- | |
| 2123484 | PA | AETNA PROVIDER ID | |
| 5920000 | PA | IBC PROVIDER ID |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evangelical Manor?
The Evangelical Manor has been issued the NPI (National Provider Identifier) 1043207152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Evangelical Manor located?
The Evangelical Manor is located at 8401 Roosevelt Blvd, Philadelphia, PA 191522034.
What is Evangelical Manor'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 Evangelical Manor is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date was the 1043207152 assigned to Evangelical Manor?
The Evangelical Manor was issued its 1043207152 on 2005-10-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Evangelical Manor most recently updated or refreshed?
The details pertaining to the Evangelical Manor, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.