Saint Agnes Continuing Care Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SAINT AGNES CONTINUING CARE CENTER

Practice address

1500 S Columbus Blvd
Philadelphia, PA 19147-5510

Phone

(215) 339-4747

Fax

(215) 339-5648

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Terry A Gresko

Title

V. P. of Finance Cfo

Phone

(215) 339-4223

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Saint Agnes Continuing Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Saint Agnes Continuing Care Center

  • PACE Provider Organization
  • Philadelphia, PA
  • NPI 1881738565
  NPD tax ID
• St. Agnes Continuing Care Center

  dba Mercy LIFE

  • PACE Provider Organization
  • Philadelphia, PA
  • NPI 1174881627
  NPD tax ID

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093840365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452304",
            "telephone_number": "215-339-4223",
            "fax_number": "215-339-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S COLUMBUS BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475510",
            "telephone_number": "215-339-4747",
            "fax_number": "215-339-5648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT AGNES CONTINUING CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRESKO",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "V. P. OF FINANCE   CFO",
        "authorized_official_telephone_number": "215-339-4223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003050510004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKayla Elizabeth Saine
• Gurjit Singh Saini, DO
• Manu Krishan Dev Saini, M.D.
• Pavneet Kaur Saini
• Dennis Sainsbury, PHARMD
• Saint Agnes Continuing Care Center
• Saint Ignatius Nursing Home
• Carline Saint-Cyr
• Sidney Saint-Hilaire
• Mariane Saint-Louis

• Adult Day Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Day Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.