# CITY OF PHILADELPHIA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Philadelphia Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831258045
- **Authorized official:** JAMES SCANNAPIECO (ASSOCIATE ADMINISTRATOR, FINANCE)
- **Authorized official phone:** (215) 685-0800

## Contact information

- **Practice address:** 2100 W GIRARD AVE, PHILADELPHIA, PA 19130-1400
- **Practice address phone:** (215) 685-0800
- **Practice address fax:** (215) 685-0975
- **Mailing address:** 2100 W GIRARD AVE, PHILADELPHIA, PA 19130-1400
- **Mailing address phone:** (215) 685-0800
- **Mailing address fax:** (215) 685-0975

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 163902 | PA | Yes |

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 01/12/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0007561580001 | — | PA |
| 05 | — | 1000076950094 | — | PA |