Active NPI
Kearsley Long Term Care Center II
- Skilled Nursing Facility
- Philadelphia, PA
National Provider Identifier
1073760195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 032502
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.