Monticello House

LBN: Riddle Village
Monticello House is an health care organization with primary practice located at 1048 W Baltimore Pike , Media PA 19063-5149. 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. Riddle Village can be contacted via phone (610) 891-3806, or through Roguszeuski, Kim via phone (610) 891-3783.

Contact Information

Primary practice address
1048 W Baltimore Pike Media PA 19063-5149
Phone: (610) 891-3806
Fax: (610) 891-3829
Website:
Map and Directions
Authorized official contact:
Name: Roguszeuski, Kim
Phone: (610) 891-3783

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 017302 Pennsylvania

Profile Details

NPI number 1679570196
LBN Legal business name Riddle Village
DBA Doing business as Monticello House
Authorized official Roguszeuski, Kim
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Oct 27th, 2023 - about last year

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 1679570196 NPPES
Pennsylvania Other 1451 INDEPENDENCE BLUE CROSS
Pennsylvania Other 576790 INDEPENDENCE BLUE CROSS
Pennsylvania Other 391335 INDEPENDENCE BLUE CROSS

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