NPIMap

Organization Active NPI

Holy Redeemer Health System

Doing business as Senior Behavorial Health

  • Psychiatric Hospital Unit
  • Meadowbrook, PA
National Provider Identifier
1033100052
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
083901 Issued in PA
Legal business name
HOLY REDEEMER HEALTH SYSTEM
Doing business as
Senior Behavorial Health
Practice address
1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone
(215) 947-3000
NPI assigned
Oct 31, 2005
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Keen
Title
Cfo
Phone
(215) 856-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 083901 PA Primary

Addresses

Primary practice location

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001

Mailing address

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 947-3000

Other names 1

  • Senior Behavorial Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081104000167 PA Part A Provider - Hospital 5496795312 Practice locations: Meadowbrook, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033100052. Details of each certification follow.

Hospital certification: CCN 39S097

Legal name
HOLY REDEEMER HEALTH SYSTEM
Doing business as
SENIOR BEHAVORIAL HEALTH
Organization structure
CorporationNon-profit
Incorporated
Jun 12, 1956 in PA
Enrollment address
1648 Huntingdon Pike
Senior Behavorial Health
Meadowbrook, PA 19046-8001
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Pathology Holy Redeemer10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
William Sasso Individual Corporate DirectorBoard Member Oct 1, 1997
Michael B Laign Individual Corporate OfficerPresident/Ceo Oct 1, 2004
Corporate DirectorBoard Member Oct 1, 2004
W-2 Managing EmployeePresident/Ceo Oct 1, 2004
Operational/Managerial ControlPresident/Ceo Oct 1, 2004
Donald F Friel Individual Corporate OfficerAssistant Treasurer Nov 19, 2003
W-2 Managing EmployeeExecutive Vice President Nov 19, 2003
Cristina Peoples Individual Corporate OfficerSecretary Jul 1, 2021
W-2 Managing EmployeeExecutive Assistant to President Jul 1, 2021
Joseph Ragg Individual Corporate DirectorBoard Member Jan 1, 2021
Charlotte McKinnes Individual Corporate DirectorBoard Member Nov 1, 2013
James Lynch Individual Corporate DirectorBoard Member Oct 1, 1997
Marc Crespi Individual Corporate DirectorBoard Member Oct 1, 1997
Ellyn Ito Individual Corporate Director Nov 29, 2017
James Rodgers Individual Corporate DirectorBoard Member Jan 1, 2021
Guy E McElwain Individual Corporate DirectorBoard Member Oct 1, 1997
S Nicholas Lezzi Individual Corporate DirectorBoard Member Jan 1, 2014
Holy Redeemer Health System Organization, Huntingdon Valley, PA Non-profit Other Oct 1, 1997 100%
Beth Dupree Individual Corporate Director Nov 29, 2017
Ronald Brooks Individual Corporate DirectorBoard Member Oct 1, 1997
Robyn Walsh Individual Corporate DirectorBoard Member Oct 1, 1997
Tara Martin Individual W-2 Managing EmployeeAd; Oct 30, 2000
Michael Keen Individual Corporate OfficerTreasurer Sep 6, 2022
W-2 Managing EmployeeCfo Sep 6, 2022

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Holy Redeemer HospitalMeadowbrook, PA, CCN 390097 Hospital Other (100%) Sep 5, 1991
Rothman Orthopaedic Specialty HospitalBensalem, PA, CCN 390322 Hospital 5% Or Greater Direct Ownership Interest (5%) May 26, 2010
St. Josephs ManorMeadowbrook, PA, CCN 395006 Skilled nursing facility Other (100%) Jan 1, 1990
Holy Redeemer Diabetes CounselingDarby, PA, CCN 395821 Skilled nursing facility Adp of the SNF
Direct Ownership Interest (100%)		 Dec 15, 2017
Dec 15, 2017
HRH Transitional Care UnitMeadowbrook, PA, CCN 395861 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Sep 5, 2011
Sep 5, 2011
Sep 5, 2011
Holy Redeemer Home Care- NJ SouthRunnemede, NJ, CCN 317025 Home health agency Operational/Managerial Control (100%) Oct 1, 2004
Holy Redeemer Home Care-PAPhiladelphia, PA, CCN 397104A Home health agency Other (100%) Feb 23, 1973
Holy Redeemer Hospice - NJ, SouthRunnemede, NJ, CCN 311513 Hospice Operational/Managerial Control (100%) Jul 5, 2021
Holy Redeemer Hospice-PAPhiladelphia, PA, CCN 391514A Hospice Other (100%) Feb 23, 1973

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1033100052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-947-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1648 HUNTINGDON PIKE",
            "city": "MEADOWBROOK",
            "state": "PA",
            "postal_code": "190468001",
            "telephone_number": "215-947-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY REDEEMER HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "KEEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-856-1114"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": "083901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Behavorial Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Senior Behavorial Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meadowbrook, PA

Sources for this page

Verify at the official NPI Registry.