# HOMESTEAD VILLAGE INC

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

## Provider details

- **NPI number:** 1487652905
- **Authorized official:** DOUGLAS V MOTTER (PRESIDENT)
- **Authorized official phone:** (717) 397-4831

## Contact information

- **Practice address:** 1800 VILLAGE CIR, LANCASTER, PA 17603-2376
- **Practice address phone:** (717) 397-4831
- **Practice address fax:** (717) 397-5647
- **Mailing address:** 1800 VILLAGE CIR, LANCASTER, PA 17603-2376
- **Mailing address phone:** (717) 397-4831
- **Mailing address fax:** (717) 397-5647

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 085902 | PA | Yes |

## Other

- **Enumeration date:** 07/08/2005
- **Last updated:** 03/22/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0010636500002 | — | PA |