Masonic Village At Lafayette Hill

LBN: Masonic Homes At Elizabethtown Gd Ldg Of Free & Accptd Masons Pa
Masonic Village At Lafayette Hill is an health care organization with primary practice located at 801 Ridge Pike , Lafayette Hill PA 19444-1723. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Masonic Homes At Elizabethtown Gd Ldg Of Free & Accptd Masons Pa can be contacted via phone (610) 825-6100, or through Prazenica, William J via phone (717) 367-1121.

Contact Information

Primary practice address
801 Ridge Pike Lafayette Hill PA 19444-1723
Phone: (610) 825-6100
Fax: (610) 828-2803
Website:
Map and Directions
Authorized official contact:
Name: Prazenica, William J CPA
Phone: (717) 367-1121

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 144400-DPW Pennsylvania
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 137102-DOH Pennsylvania
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1760474472
LBN Legal business name Masonic Homes At Elizabethtown Gd Ldg Of Free & Accptd Masons Pa
DBA Doing business as Masonic Village At Lafayette Hill
Authorized official Prazenica, William J CPA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2005
Last updated May 10th, 2010 - about 14 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 1760474472 NPPES
Pennsylvania Other 0001722000 KEYSTONE HEALTH PLAN-IBC
Pennsylvania MEDICAID 10000027230032 KEYSTONE HEALTH PLAN-IBC

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