Old Man'S Home of Philadelphia

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

190402 Issued in PA

Legal business name

OLD MAN'S HOME OF PHILADELPHIA

Doing business as

Saunders House

Practice address

100 E Lancaster Ave
Wynnewood, PA 19096-3450

Phone

(610) 658-5100

Fax

(610) 795-5000

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Kristen Fee

Title

Cfo

Phone

(610) 658-5122

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Saunders House Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1033114707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-658-5100",
            "fax_number": "610-795-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LANCASTER AVE",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963450",
            "telephone_number": "610-658-5100",
            "fax_number": "610-795-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD MAN'S HOME OF PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "FEE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-658-5122"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "190402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007519200002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saunders House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Hagedorn Ochs, MD
• Oculist Co.
• Karin Ofir, MS, RD, CDN
• Molly Oken, MD
• Oluwatomisin Olapoju, MD
• Ashlee Nicole Olenginski
• Farah Olleik, MD
• Chinyere Nkemdirim Omeogu, M.D.
• Yinn Shaung Ooi, M.D.
• Jilda Ann Opczynski, PA-C

• Skilled Nursing Facility in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.