THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS


Address: 800 Spruce St, Philadelphia, PA 19107-6130
Phone: 2157964640

THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS (NPI# 1184692121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184692121
Entity Type Organization
Organization Name THE PENNSYLVANIA HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA HEALTH SYS
Other Organization Name PENNSYLVANIA HOSPITAL SKILLED CARE CENTER
Practice Address 800 Spruce St
Philadelphia
PA 19107-6130
Mailing Address 1500 Market St
Upper Mezzenanine 600
Philadelphia
PA 19102-2100
Practice Telephone 2157964640
Practice Fax Number 6097707792
Mailing Telephone 2157964640
Mailing Fax Number 6097707792
Enumeration Date 2006-03-08
Last Update Date 2015-11-03
Authorized Official Name MR. THOMAS MCCORMICK JR. (AVP FINANCE)
Authorized Official Telephone 2157964640
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Pennsylvania Hospital Skilled Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1477808459 The Pennsylvania Hospital of The University of Pennsylvania Health Sys Clinic/Center 230 W Washington Sq, Farm Journal Building, 4th Floor, Philadelphia, PA 19106-3500 2012-07-17
1023153053 The Pennsylvania Hospital of The University of Pennsylvania Health Sys Pharmacy 800 Spruce St, Philadelphia, PA 19107-6130 2007-02-20
1306814348 The Pennsylvania Hospital of The University of Pennsylvania Health Sys Psychiatric Unit 800 Spruce St, Phila, PA 19107-6130 2006-03-08
1114995156 The Pennsylvania Hospital of The University of Pennsylvania Health Sys Rehabilitation Unit 800 Spruce St, Philadelphia, PA 19107-6130 2006-03-08
1063489342 The Pennsylvania Hospital of The University of Pennsylvania Health Sys General Acute Care Hospital 800 Spruce St, Phila, PA 19107-6130 2006-03-04

Office Location

Street Address 800 SPRUCE ST
City PHILADELPHIA
State PA
Zip Code 19107-6130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851399869 Ira Jay Bleiweiss Pathology 800 Spruce St, Philadelphia, PA 19107-6130 2005-07-13
1245837848 Brett Kenneth Irving Internal Medicine 800 Spruce St, Philadelphia, PA 19107-6192 2020-10-06
1558977223 Mercy Chinemerem Anyanwu Internal Medicine 800 Spruce St, Philadelphia, PA 19107-6192 2020-09-18
1477161362 Jessica Grierson Bauer Internal Medicine 800 Spruce St, Philadelphia, PA 19107-6130 2020-07-16
1649891961 Marianne Riordan Student in an Organized Health Care Education/Training Program 800 Spruce St, Philadelphia, PA 19107-6192 2020-04-27
1700406923 Joseph Burke Registered Nurse 800 Spruce St, Philadelphia, PA 19107-6130 2020-04-17
1447879002 Elaine Hong Hatch Student in an Organized Health Care Education/Training Program 800 Spruce St, Philadelphia, PA 19107-6192 2020-04-14
1154940757 Jason Michael Homza Student in an Organized Health Care Education/Training Program 800 Spruce St, Philadelphia, PA 19107-6192 2020-04-14
1659990182 Preya Shah Student in an Organized Health Care Education/Training Program 800 Spruce St, Philadelphia, PA 19107-6130 2020-04-14
1306465802 Emma Braun Student in an Organized Health Care Education/Training Program 800 Spruce St, Philadelphia, PA 19107-6130 2020-04-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376080283 Tulip Special Care, LLC Skilled Nursing Facility 3300 Henry Ave Ste 700, Philadelphia, PA 19129-1121 2017-01-30
1952719148 2509 South Fourth Operating, LLC Skilled Nursing Facility 2509 S. 4th Streert, Philadelphia, PA 19148-4712 2014-07-31
1609167154 Kearsley Operator Lp Skilled Nursing Facility 2100 North 49th St, Philadelphia, PA 19131-2698 2011-05-02
1063742708 Rc Operators, LLC (d.b.a. Willow Terrace) Skilled Nursing Facility One Penn Boulevard, Penn Tower, Philadelphia, PA 19144-4206 2009-12-31
1740419159 Therapists On Demand, Inc Skilled Nursing Facility 215 Church St Ste 3, Philadelphia, PA 19106-4518 2009-07-07
1588708655 The 58th Street Presbyterian Homes Skilled Nursing Facility 2050 S 58th St, Philadelphia, PA 19143-5932 2007-02-20
1023168283 Bala Nursing & Ret Cntr Ltd Ptrshp Ford Rd Corp Skilled Nursing Facility 4001 Ford Rd, Philadelphia, PA 19131-2833 2007-01-11
1841308061 Kearsley Long Term Care Skilled Nursing Facility 2100 N 49th St, Philadelphia, PA 19131-2633 2006-08-28
1326156555 Care Pavilion Inc Skilled Nursing Facility 6212 Walnut St, Philadelphia, PA 19139-3706 2006-08-28
1205944402 Cliveden- Maplewood Convalescent Center Inc Skilled Nursing Facility 6400 Greene St, Philadelphia, PA 19119-3231 2006-08-28
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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