Philadelphia Protestant Home

LBN: Philadelphia Protestant Home
Philadelphia Protestant Home is an health care organization with primary practice located at 6500 Tabor Rd , Philadelphia PA 19111-5332. 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 / Skilled Nursing Facility is the primary health care specialty. Philadelphia Protestant Home can be contacted via phone (215) 697-8000, or through Wicker, David via phone (215) 697-8357.

Contact Information

Primary practice address
6500 Tabor Rd Philadelphia PA 19111-5332
Phone: (215) 697-8000
Fax: (215) 697-8018
Website:
Map and Directions
Authorized official contact:
Name: Wicker, David
Phone: (215) 697-8357

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 144500 Pennsylvania
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 681002 Pennsylvania

Profile Details

NPI number 1477537827
LBN Legal business name Philadelphia Protestant Home
DBA Doing business as
Authorized official Wicker, David
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 31st, 2016 - about 8 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 1477537827 NPPES
Pennsylvania MEDICAID 0007494760001
Pennsylvania Other 71-00802
Pennsylvania Other 0005698000

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