SACRED HEART MANOR, INC (NPI# 1811994460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811994460 |
| Entity Type | Organization |
| Organization Name | SACRED HEART MANOR, INC |
| Other Organization Name | SACRED HEART MANOR |
| Practice Address |
6445 Germantown Ave Philadelphia PA 19119-2345 |
| Practice Telephone | 2154385268 |
| Practice Fax Number | 2159510798 |
| Mailing Telephone | 2154385268 |
| Mailing Fax Number | 2159510798 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SISTER FIDELIS M REGAN (ADMINISTRATOR) |
| Authorized Official Telephone | 2154385268 |
| Authorized Official Credential | NHA, RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 310400000X | Assisted Living Facility | 185860 | PA | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | 191802 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007569800002 | 05 |
| Other Name | Type Code |
|---|---|
| Sacred Heart Manor | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SACRED HEART MANOR, INC. | 261 Benham St., Hamden, CT 06514 |
| Street Address |
6445 GERMANTOWN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19119-2345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467926436 | Lindsey Windsor | Speech-Language Pathologist | 6445 Germantown Ave, Philadelphia, PA 19119-2345 | 2019-01-14 |
| 1093148660 | Angeline Florence Galla | Occupational Therapist | 6445 Germantown Ave, Philadelphia, PA 19119-2345 | 2013-08-18 |
| 1780929562 | Naami Shain | Speech-Language Pathologist | 6445 Germantown Ave, Philadelphia, PA 19119-2345 | 2012-12-04 |
| 1710262852 | Roneth Fajardo | Physical Therapist | 6445 Germantown Ave, Philadelphia, PA 19119-2345 | 2011-10-20 |
| 1386884328 | Caring Heart Rehabilitation and Nursing Center, Inc. | Skilled Nursing Facility | 6445 Germantown Ave, Philadelphia, PA 19119-2345 | 2009-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396215158 | Atl Community Living LLC | Assisted Living Facility | 5231 Locust St, Philadelphia, PA 19139-4020 | 2018-12-04 |
| 1457885576 | Tlc Living | Assisted Living Facility | 5756 N Camac St, Philadelphia, PA 19141-4108 | 2017-04-14 |
| 1649528522 | N-syte Development Corp | Assisted Living Facility | 102 E Hortter St, Philadelphia, PA 19119-2206 | 2012-08-26 |
| 1477830305 | Moravia Health Network, LLC | Assisted Living Facility | 1500 Walnut St Ste 1900, Philadelphia, PA 19102 | 2011-11-06 |
| 1477857241 | Sg Senior Living, LLC | Assisted Living Facility | 150 N 20th St, Philadelphia, PA 19103-1456 | 2011-01-07 |
| 1962530683 | Holy Family Home | Assisted Living Facility | 5300 Chester Ave, Philadelphia, PA 19143-4929 | 2007-03-02 |
| 1225188386 | Bakers Bay Elderly Associates | Assisted Living Facility | 9503 State Rd, Philadelphia, PA 19114-3039 | 2007-01-11 |
| 1558303982 | Geriatric & Medical Services Inc | Assisted Living Facility | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2006-06-11 |
| 1770562688 | Ashton Hall Inc | Assisted Living Facility | 2109 Red Lion Rd, Philadelphia, PA 19115-1711 | 2006-01-10 |
| 1477537827 | Philadelphia Protestant Home | Assisted Living Facility | 6500 Tabor Rd, Philadelphia, PA 19111-5332 | 2005-11-30 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19119 |
Please comment or provide details below to improve the information on SACRED HEART MANOR, INC.
| 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.