MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA (NPI# 1467706390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467706390 |
| Entity Type | Organization |
| Organization Name | MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA |
| Other Organization Name | MASONIC VILLAGE AT WARMINSTER |
| Practice Address |
581 Freemason Dr Elizabethtown PA 17022-3187 |
| Mailing Address |
850 Norristown Rd Warminster PA 18974-2628 |
| Practice Telephone | 7173671121 |
| Practice Fax Number | 7173675813 |
| Mailing Telephone | 2156722500 |
| Mailing Fax Number | 2156727161 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | MR. WILLIAM J PRAZENICA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7173671121 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 310102 | PA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Masonic Village at Warminster | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730433343 | Masonic Villages of The Grand Lodge of Pennsylvania | Day Training, Developmentally Disabled Services | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2012-11-05 |
| 1932453867 | Masonic Villages of The Grand Lodge of Pennsylvania | Hospice, Inpatient | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2012-10-30 |
| 1558615484 | Masonic Villages of The Grand Lodge of Pennsylvania | Skilled Nursing Facility | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2012-10-30 |
| 1376897207 | Masonic Villages of The Grand Lodge of Pennsylvania | Skilled Nursing Facility | 801 Ridge Pike, Lafayette Hill, PA 19444-1744 | 2012-10-30 |
| 1659625580 | Masonic Villages of The Grand Lodge of Pennsylvania | Pharmacy | 1 Masonic Dr, Elizabethtown, PA 17022-2199 | 2012-10-30 |
| 1720332653 | Masonic Villages of The Grand Lodge of Pennsylvania | Psychologist | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2012-10-30 |
| 1972856151 | Masonic Villages of The Grand Lodge of Pennsylvania | Clinical Medical Laboratory | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2012-10-25 |
| Street Address |
581 FREEMASON DR |
| City | ELIZABETHTOWN |
| State | PA |
| Zip Code | 17022-3187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356471197 | Masonic Homes of The Grand Lodge of Free & Accepted Masons | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2007-03-07 |
| 1730433343 | Masonic Villages of The Grand Lodge of Pennsylvania | Day Training, Developmentally Disabled Services | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2012-11-05 |
| 1932453867 | Masonic Villages of The Grand Lodge of Pennsylvania | Hospice, Inpatient | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2012-10-30 |
| 1558615484 | Masonic Villages of The Grand Lodge of Pennsylvania | Skilled Nursing Facility | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2012-10-30 |
| 1720332653 | Masonic Villages of The Grand Lodge of Pennsylvania | Psychologist | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2012-10-30 |
| 1972856151 | Masonic Villages of The Grand Lodge of Pennsylvania | Clinical Medical Laboratory | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2012-10-25 |
| 1285865345 | Masonic Homes At Elizabethtown Gd Ldg of Free & Accptd Masons Pa | Hospice, Inpatient | 581 Freemason Dr, Elizabethtown, PA 17022-3187 | 2009-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669967162 | William Joseph Borowski | Dentist | 100 Continental Drive, Elizabethtown, PA 17022 | 2018-06-27 |
| 1477042422 | Sarah Marie Altman-kopko | Speech-Language Pathologist | 928 Hedgewyck Ln, Elizabethtown, PA 17022 | 2018-05-05 |
| 1013421676 | Michele Marie Heffner | Counselor | 222 S. Market Street, Suite 104, Elizabethtown, PA 17022 | 2017-11-18 |
| 1003325184 | Caroline Elizabeth Weisser | Physician Assistant | 432 Cloverleaf Road, Elizathebtown, PA 17022 | 2017-09-21 |
| 1710359146 | Carissa Ressler LLC | Massage Therapist | 8 East High Street, Elizabethtown, PA 17022 | 2015-10-26 |
| 1386013092 | Matthew Jacob Hoover | Physical Therapist | 19 Silver Drive, Elizabethtown, PA 17022 | 2015-09-23 |
| 1275913584 | White Family Dental - Masonic Village Pllc | Dentist | 83 North Freemason Dr, Elizabethtown, PA 17022 | 2015-06-02 |
| 1851781801 | Central Pa Therapy Connections, LLC | Speech-Language Pathologist | 36 Creekside Dr., Elizabethtown, PA 17022 | 2015-01-29 |
| 1053719120 | Corrine Mcgrail | Occupational Therapist | 138 Raven Place, Elizabethtown, PA 17022 | 2014-12-05 |
| 1639506843 | Bouquet Mulligan Demaio Eye Professionals | Optometrist | 600 Free Mason Drive, Elizabethtown, PA 17022 | 2013-10-02 |
| Find all providers in zip 17022 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851990675 | Elizabethtown Opco LLC | Skilled Nursing Facility | 141 Heisey Avenue, Elizabethtown, PA 17022-8107 | 2020-10-22 |
| 1891810826 | Rheems Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 141 Heisey Ave, Elizabethtown, PA 17022-8107 | 2007-03-20 |
| 1790858801 | Extendicare Homes, Inc. | Skilled Nursing Facility | 1101 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-11-16 |
| 1003860412 | Sunbridge Retirement Care Associates LLC | Skilled Nursing Facility | 804 S Poplar St, Elizabethtown, NC 28337-9226 | 2006-05-20 |
| 1073580957 | Elizabethtown Nursing Center, Inc. | Skilled Nursing Facility | 208 Mercer Rd, Elizabethtown, NC 28337-3938 | 2006-03-01 |
| 1467448274 | Essex County Treasurer | Skilled Nursing Facility | 81 Park St, Elizabethtown, NY 12932 | 2005-09-27 |
| 1801894118 | Wells Health Systems, Inc. | Skilled Nursing Facility | 225 Saint John Rd, Elizabethtown, KY 42701-2918 | 2005-07-11 |
| 1225636301 | Emerald Operator LLC | Skilled Nursing Facility | 320 S Market St, Elizabethtown, PA 17022-2422 | 2020-10-12 |
| 1215545777 | Baptist Healthcare System Inc | Skilled Nursing Facility | 913 N Dixie Ave, Elizabethtown, KY 42701-2503 | 2020-07-21 |
| 1588219828 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 208 Mercer Rd, Elizabethtown, NC 28337 | 2019-08-05 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 17022 |
Please comment or provide details below to improve the information on MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA.
| 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.