# ELM TERRACE GARDENS

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

## Provider details

- **NPI number:** 1083707178
- **Authorized official:** MR. ROBERT CLARK MCLAIN C.P.A. (VICE PRESIDENT AND CFO)
- **Authorized official phone:** (215) 361-5664

## Contact information

- **Practice address:** 660 N BROAD ST, LANSDALE, PA 19446-2361
- **Practice address phone:** (215) 361-5664
- **Practice address fax:** (215) 361-5670
- **Mailing address:** 660 N BROAD ST, LANSDALE, PA 19446-2361
- **Mailing address phone:** (215) 361-5664
- **Mailing address fax:** (215) 361-5670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | A45280 | PA | Yes |
| 314000000X | Skilled Nursing Facility | 310802 | PA | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005832000 | BLUE CROSS/KEYSTONE PROV\# | PA |
| 05 | — | 10081441140003 | — | PA |
| 01 | — | 54338 | AETNA PROVIDER \# | PA |