Saint Agnes Continuing Care Center

LBN: Saint Agnes Continuing Care Center
Saint Agnes Continuing Care Center is an health care organization with primary practice located at 1900 S Broad St , Philadelphia PA 19145-2304. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Saint Agnes Continuing Care Center can be contacted via phone (215) 339-4223, or through Schmotzer, David via phone (215) 339-4533.

Contact Information

Primary practice address
1900 S Broad St Philadelphia PA 19145-2304
Phone: (215) 339-4223
Fax: (215) 339-0482
Website:
Map and Directions
Authorized official contact:
Name: Schmotzer, David
Phone: (215) 339-4533

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1881738565
LBN Legal business name Saint Agnes Continuing Care Center
DBA Doing business as
Authorized official Schmotzer, David
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Apr 11th, 2019 - about 5 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 1881738565 NPPES
Pennsylvania MEDICAID 1003050510004

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