ELM TERRACE GARDENS NPI 1083707178

NPI Information

  • NPI: 1083707178
  • Provider Name: ELM TERRACE GARDENS
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 39D0204229
  • Address: 660 N BROAD ST
    LANSDALE, PA
    ZIP 19446
  • Phone: (215) 361-5664

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NPI Details

ELM TERRACE GARDENS is an assisted living facility in Lansdale, PA. The provider is 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. ELM TERRACE GARDENS NPI is 1083707178. The provider is registered as an organization entity type.

The provider's business location address is:

660 N BROAD ST
LANSDALE, PA
ZIP 19446-361
Phone: (215) 361-5664
Fax: (215) 361-5670

The provider's authorized official is Robert Clark Mclain .
The authorized official title is Vice President And Cfo and has the following contact phone number (215) 361-5664.

The CLIA number assigned to this NPI record is 39D0204229 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1314000000XSkilled Nursing Facility310802PENNSYLVANIANo
2310400000XAssisted Living FacilityA45280PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
154338OTHERPENNSYLVANIAAETNA PROVIDER #
20005832000OTHERPENNSYLVANIABLUE CROSS/KEYSTONE PROV#
310081441140003MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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