Baptist Home of Philadelphia

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

020202 Issued in PA

Legal business name

BAPTIST HOME OF PHILADELPHIA

Doing business as

Deer Meadows Retirement Community

Practice address

8301 Roosevelt Blvd
Philadelphia, PA 19152-2006

Phone

(215) 624-7575

Fax

(215) 624-7020

NPI assigned

Oct 5, 2005

Organization subpart

No

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

Authorized official

Name

Lisa M Sofia, BSN, NHA

Title

Coo / Administrator

Phone

(215) 624-7575

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Deer Meadows Retirement Community Doing business as

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1164419909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522006",
            "telephone_number": "215-624-7575",
            "fax_number": "215-624-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522006",
            "telephone_number": "215-624-7575",
            "fax_number": "215-624-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST HOME OF PHILADELPHIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "SOFIA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "COO / ADMINISTRATOR",
        "authorized_official_telephone_number": "215-624-7575",
        "authorized_official_credential": "BSN, NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "020202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0745083",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deer Meadows Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeanamarie Banta, PT, DPT
• Walter E Bantom III, M.D.
• Jasmin Banton, DO
• Alicia Bao
• Kehan Bao
• Justina W Baptiste, MD
• Sandra Baptiste
• Sally Baqer
• Voichita Bar Ad, M.D.
• Amit Bar-Or

• Skilled Nursing Facility in Philadelphia, PA
• Providers in Philadelphia, 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 Dec 5, 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.