PHILADELPHIA PROTESTANT HOME
Assisted Living Facility
Philadelphia, Pennsylvania
Provider NPI: 1477537827
Organization Information:Organization Name: PHILADELPHIA PROTESTANT HOME
Practice Location:
6500 TABOR RD PHILADELPHIA, PA 19111 US
Tel: 215-697-8000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
6500 TABOR RD PHILADELPHIA, PA 19111 US
Tel: 215-697-8000 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | PA | 144500 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | PA | 681002 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
EVERCARE | 71-00802 | PA | 01 |
0007494760001 | PA | 05 | |
IBC | 0005698000 | PA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin