NPIMap

Organization Active NPI

The Mennonite Home

Doing business as Tandem Living

  • Physical Therapy Clinic/Center
  • Lancaster, PA
National Provider Identifier
1093053910
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
THE MENNONITE HOME
Doing business as
Tandem Living
Practice address
2001 Harrisburg Pike
Lancaster, PA 17601-2641
Phone
(717) 393-1301
Fax
(717) 393-1389
NPI assigned
Jan 28, 2013
Last updated
Jul 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Authorized official

Name
Mr. John D Sauder
Title
President/Ceo
Phone
(717) 393-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

2001 Harrisburg Pike
Lancaster, PA 17601-2641

Mailing address

1520 Harrisburg Pike
Lancaster, PA 17601-2632
Phone (717) 393-1301

Other names 1

  • Tandem Living Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130425000261 PA Part B Supplier - Clinic/Group Practice 9830264696 Receives reassigned benefits from 19 practitioners
Practice locations: Lancaster, PA

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Tandem Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1093053910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012632",
            "telephone_number": "717-393-1301",
            "fax_number": "717-509-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HARRISBURG PIKE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012641",
            "telephone_number": "717-393-1301",
            "fax_number": "717-393-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENNONITE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "SAUDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "717-393-1301",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tandem Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tandem Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.