HATFIELD MENNONITE HOME NPI 1225023443

NPI Information

  • NPI: 1225023443
  • Provider Name: HATFIELD MENNONITE HOME
  • Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
  • Entity Type: Organization
  • Other Name: DOCK TERRACE
  • CLIA Number: 39D0204228
  • Address: 275 DOCK DRIVE
    LANSDALE, PA
    ZIP 19446
  • Phone: (215) 368-4438

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NPI Details

HATFIELD MENNONITE HOME is a nursing facility intermediate care facility in Lansdale, PA. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. HATFIELD MENNONITE HOME NPI is 1225023443. The provider is registered as an organization entity type.
The provider Other Name Is Dock Terrace.

The provider's business location address is:

275 DOCK DRIVE
LANSDALE, PA
ZIP 19446
Phone: (215) 368-4438
Fax: (215) 362-2682

The provider's authorized official is Edward D Brubaker .
The authorized official title is President Ceo and has the following contact phone number (215) 368-4438.

The CLIA number assigned to this NPI record is 39D0204228 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 3/12/2009.

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
1313M00000XNursing Facility/Intermediate Care Facility044402PENNSYLVANIAYes

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
1395557MEDICARE ID-TYPE UNSPECIFIED
20008879280001MEDICAIDPENNSYLVANIA

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: 3/30/2025

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