Paul'S Run

LBN: Paul'S Run
Paul'S Run is an health care organization with primary practice located at 9896 Bustleton Ave , Philadelphia PA 19115-5202. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Paul'S Run can be contacted via phone (215) 934-3000, or through Barnum, John M. via phone (215) 643-6333.

Contact Information

Primary practice address
9896 Bustleton Ave Philadelphia PA 19115-5202
Fax: (215) 934-3018
Website:
Authorized official contact:
Name: Barnum, John M.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 176990 Pennsylvania
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 161902 Pennsylvania

Profile Details

NPI number 1366443970
LBN Legal business name Paul'S Run
DBA Doing business as
Authorized official Barnum, John M.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 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 1366443970 NPPES
Other 0908820001 DMERC SUPPLIER #
MEDICAID 0012939630002 DMERC SUPPLIER #

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