ST JOHN NEUMANN NURSING HOME NPI 1205903630

NPI Information

NPI: 1205903630
Provider Name: ST JOHN NEUMANN NURSING HOME
Classification: Durable Medical Equipment & Medical Supplies - 332BP3500X
Entity Type: Organization

Specialization: Parenteral & Enteral Nutrition

Address:
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
Phone: (215) 698-5600
Get Directions

ST JOHN NEUMANN NURSING HOME is a parenteral and enteral nutrition durable medical equipment medical supplies in Philadelphia, PA. ST JOHN NEUMANN NURSING HOME NPI is 1205903630. The provider is registered as an organization entity type.

The provider's business location address is:

10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116-905
Phone: (215) 698-5600
Fax: (215) 368-5254

The provider's authorized official is Michael Czekner .
The authorized official title is Chief Financial Officer and has the following contact phone number (215) 368-0900.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 9/23/2008.

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
1	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	452202	PENNSYLVANIA	Yes

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
1	0646560001	MEDICARE NSC	PENNSYLVANIA

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: 11/14/2023

NPI Synchronization or Removal

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