Jewish Home Of Eastern Pennsylvania

LBN: Jewish Home Of Eastern Pennsylvania
Jewish Home Of Eastern Pennsylvania is an health care organization with primary practice located at 1101 Vine St , Scranton PA 18510-2126. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Jewish Home Of Eastern Pennsylvania can be contacted via phone (570) 344-6177, or through Sandhaus, Samuel K via phone (570) 344-6177.

Contact Information

Primary practice address
1101 Vine St Scranton PA 18510-2126
Phone: (570) 344-6177
Fax: (570) 344-9610
Website:
Map and Directions
Authorized official contact:
Name: Sandhaus, Samuel K
Phone: (570) 344-6177

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 360402 Pennsylvania
Suppliers / Nursing Facility Supplies 332BN1400X 360402 Pennsylvania
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 360402 Pennsylvania

Profile Details

NPI number 1235137472
LBN Legal business name Jewish Home Of Eastern Pennsylvania
DBA Doing business as
Authorized official Sandhaus, Samuel K
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Apr 22nd, 2008 - about 16 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 1235137472 NPPES
Pennsylvania MEDICAID 0007472840001

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