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STAPELEY HALL NPI 1295753978


NPI Information

NPI: 1295753978
Provider Name: STAPELEY HALL

Doing Business As: WESLEY ENHANCED LIVING AT STAPELEY

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 39D0909385

Address:
6300 GREENE ST
PHILADELPHIA, PA
ZIP 19144
Phone: (215) 844-0700
Get Directions

STAPELEY HALL is a nursing facility intermediate care facility in Philadelphia, 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. STAPELEY HALL NPI is 1295753978. The provider is registered as an organization entity type.
The provider Is Doing Business As Wesley Enhanced Living At Stapeley.

The provider's business location address is:

6300 GREENE ST
PHILADELPHIA, PA
ZIP 19144-596
Phone: (215) 844-0700
Fax: (215) 991-7124

The provider's authorized official is David Thomas Johnson .
The authorized official title is Executive Director and has the following contact phone number (215) 844-0700.

The CLIA number assigned to this NPI record is 39D0909385 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 6/16/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1313M00000XNursing Facility/Intermediate Care Facility455502PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10010355390002MEDICAIDPENNSYLVANIA
2395715MEDICARE OSCAR/CERTIFICATION

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

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