# BALA NURSING & RET CNTR LTD PTRSHP FORD RD CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023168283
- **Authorized official:** MR. TODD ROBERTS (CONTROLLER)
- **Authorized official phone:** (215) 877-5400

## Contact information

- **Practice address:** 4001 FORD RD, PHILADELPHIA, PA 19131-2833
- **Practice address phone:** (215) 877-5400
- **Practice address fax:** (215) 871-3110
- **Mailing address:** 4001 FORD RD, PHILADELPHIA, PA 19131-2833
- **Mailing address phone:** (215) 877-5400
- **Mailing address fax:** (215) 871-3110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 041402 | PA | Yes |

## Other

- **Enumeration date:** 01/11/2007
- **Last updated:** 09/28/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0011856700001 | — | PA |
| 01 | — | 19203 | SENIOR PARTNERS | PA |
| 01 | — | 606828 | AETNA PROVIDER NUMBER | PA |
| 01 | — | 8133 | ELDER HEALTH | PA |
| 01 | — | BLUE CROSS | BLUE CROSS | PA |
| 01 | — | KEYSTONE MERCY | 1059563 | PA |