ST. AGNES LONG TERM INTENSIVE CARE, LLP (NPI# 1609871318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609871318 |
| Entity Type | Organization |
| Organization Name | ST. AGNES LONG TERM INTENSIVE CARE, LLP |
| Practice Address |
1900 S Broad St Philadelphia PA 19145-2304 |
| Practice Telephone | 2153394100 |
| Practice Fax Number | 2153390482 |
| Mailing Telephone | 2153394100 |
| Mailing Fax Number | 2153390482 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. TERESA A. GRESKO (CHIEF FINANCIAL OFFICER, VP FINANCE) |
| Authorized Official Telephone | 2153394223 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 97100101 | PA | Hospitals |
| Street Address |
1900 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629405303 | Daisy Tran | Nurse Practitioner | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2013-09-26 |
| 1023243086 | Industricare Physical Rehabilitation PC | Physical Medicine & Rehabilitation | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2009-05-20 |
| 1831395961 | Matthew A Greene | Physical Therapist | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2007-06-25 |
| 1730398348 | Kristin M Siegel | Physical Therapist | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2007-05-21 |
| 1881738565 | Saint Agnes Continuing Care Center | PACE Provider Organization | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2007-02-16 |
| 1477628485 | Mobile Wound Consultants | Surgery | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2006-11-22 |
| 1447320551 | A David Mingle | Family Medicine | 1900 S Broad St, St Agnes Life, Philadelphia, PA 19145-2304 | 2006-11-08 |
| 1497839054 | Donna Brady Raziano | Internal Medicine | 1900 S Broad St, Life, Philadelphia, PA 19145-2304 | 2006-10-24 |
| 1710081583 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2006-09-12 |
| 1043232457 | Adena Greenberg | Pediatrics | 1900 S Broad St, 2nd Flr, Philadelphia, PA 19145 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194847590 | Jamie Theresa Borghi | Long Term Care Hospital | 11730 Millbrook Rd, Philadelphia, PA 19154-3618 | 2007-04-04 |
| 1306450234 | Halo Staffing Agency, LLC | Long Term Care Hospital | 6401 Akron St, Philadelphia, PA 19149-2924 | 2020-09-08 |
| 1154656817 | Scci Hospitals of America, LLC | Long Term Care Hospital | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2009-10-13 |
| 1427232818 | Philadelphia Post-acute Partners, LLC | Long Term Care Hospital | 1800 Lombard St, Fifth Floor, Philadelphia, PA 19146-8400 | 2007-12-21 |
| 1306918040 | Kindred Hospitals East, LLC | Long Term Care Hospital | 6129 Palmetto St, Philadelphia, PA 19111-5729 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659705424 | Vibra Physicians LLC | Long Term Care Hospital | 4600 Lena Dr, Mechanicsburg, PA 17055-4904 | 2013-08-28 |
| 1588907281 | Sheridan Ventures, Inc. | Long Term Care Hospital | 106 W Front St, Media, PA 19063-3208 | 2013-04-01 |
| 1568711844 | Lifecare Hospital | Long Term Care Hospital | 3270 Fawnway Dr, Murrysville, PA 15668-1419 | 2012-09-03 |
| 1770722332 | Select Specialty Hospital - Central Pa, Lp | Long Term Care Hospital | 1701 Innovation Dr Fl 5, York, PA 17408-8815 | 2009-02-05 |
| 1184749731 | Kathleen M Daya | Long Term Care Hospital | 7 Pine Ln, Douglassville, PA 19518-1313 | 2007-03-20 |
| 1831241454 | Triumph Hospital Easton | Long Term Care Hospital | 250 S 21st St Fl 3, Easton, PA 18042-3851 | 2007-01-16 |
| 1205988920 | Triumph Hospital Harrisburg | Long Term Care Hospital | 2501 N 3rd St Fl 4, Harrisburg, PA 17110-1904 | 2007-01-16 |
| 1174557557 | Lifecare Hospitals of Pittsburgh | Long Term Care Hospital | 225 Penn Avenue, Pittsburgh, PA 15221-2173 | 2006-07-10 |
| 1407882053 | Lifecare Hospitals of Chester County Inc | Long Term Care Hospital | 400 E Marshall St, West Chester, PA 19380-5412 | 2006-06-24 |
| 1336125863 | Scci Hospitals of America Inc | Long Term Care Hospital | 2501 N 3rd St 4th Floor, Harrisburg, PA 17110 | 2005-12-16 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
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| 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.