Organization
ST JOHN NEUMANN NURSING HOME
Active
Parent organization
CATHOLIC HEALTH CARE SERVICES
Other names
St John Neumann Nursing Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC HEALTH CARE SERVICES
Authorized official
MR. MICHAEL CZENER (CHIEF FINANCIAL OFFICER)
(215) 368-0900
Entity
Organization
Contact information
Practice address
10400 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3905
(215) 698-5600
(215) 698-5755
Mailing address
10400 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3905
(215) 698-5600
(215) 698-5755
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
452202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007512690001
—
PA
01
—
005944
IBC KEYSTONE
PA
01
—
0535127
AETNA
PA
Enumeration date
12/01/2005
Last updated
06/16/2008
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