# JEWISH HOME OF EASTERN PENNSYLVANIA

> 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:** 1235137472
- **Authorized official:** SAMUEL K SANDHAUS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (570) 344-6177

## Contact information

- **Practice address:** 1101 VINE ST, SCRANTON, PA 18510-2126
- **Practice address phone:** (570) 344-6177
- **Practice address fax:** (570) 344-9610
- **Mailing address:** 1101 VINE ST, SCRANTON, PA 18510-2126
- **Mailing address phone:** (570) 344-6177
- **Mailing address fax:** (570) 344-9610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 360402 | PA | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | 360402 | PA | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 360402 | PA | — |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 04/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007472840001 | — | PA |