Organization Active NPI

Kearsley Long Term Care Center II

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1073760195
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
032502 Issued in PA
Legal business name
KEARSLEY LONG TERM CARE CENTER II
Practice address
2100 N 49TH St
Philadelphia, PA 19131-2633
Phone
(215) 877-1565
Fax
(215) 877-0738
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Mr. Donald Levesque
Title
Vice President of Finance
Phone
(215) 951-4596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 032502 PA Primary

Addresses

Primary practice location

2100 N 49TH St
Philadelphia, PA 19131-2633

Mailing address

2100 N 49TH St
Philadelphia, PA 19131-2633
Phone (215) 877-1565

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1073760195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N 49TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312633",
            "telephone_number": "215-877-1565",
            "fax_number": "215-877-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N 49TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312633",
            "telephone_number": "215-877-1565",
            "fax_number": "215-877-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARSLEY LONG TERM CARE CENTER II",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "215-951-4596",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "032502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.