Evangelical Manor

LBN: Evangelical Manor
Evangelical Manor is an health care organization with primary practice located at 8401 Roosevelt Blvd , Philadelphia PA 19152-2034. 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. Evangelical Manor can be contacted via phone (215) 624-5800, or through Lachman, Suzanne via phone (215) 624-5800.

Contact Information

Primary practice address
8401 Roosevelt Blvd Philadelphia PA 19152-2034
Phone: (215) 624-5800
Fax: (215) 335-1477
Website:
Map and Directions
Authorized official contact:
Name: Lachman, Suzanne NHA
Phone: (215) 624-5800

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 311202 Pennsylvania

Profile Details

NPI number 1043207152
LBN Legal business name Evangelical Manor
DBA Doing business as
Authorized official Lachman, Suzanne NHA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1043207152 NPPES
Pennsylvania MEDICAID 0007449700001
Pennsylvania Other 2123484
Pennsylvania Other 0005920000

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