Bradford Ecumenical Home Inc

LBN: Bradford Ecumenical Home Inc
Bradford Ecumenical Home Inc is an health care organization with primary practice located at 100 Saint Francis Drive , Bradford PA 16701. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bradford Ecumenical Home Inc can be contacted via phone (814) 368-5648, or through Johnson, Lisa A via phone (814) 368-5648.

Contact Information

Primary practice address
100 Saint Francis Drive Bradford PA 16701
Phone: (814) 368-5648
Fax: (814) 368-4642
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Lisa A CEO
Phone: (814) 368-5648

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 281402 Pennsylvania

Profile Details

NPI number 1831187079
LBN Legal business name Bradford Ecumenical Home Inc
DBA Doing business as
Authorized official Johnson, Lisa A CEO
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2005
Last updated Jun 17th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831187079 NPPES
Pennsylvania MEDICAID 0011692000001
Pennsylvania Other 395908

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