Penn Center for Rehabiliation and Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

180102 Issued in PA

Legal business name

PENN CENTER FOR REHABILIATION AND CARE

Practice address

3609 Chestnut St
Philadelphia, PA 19104-2612

Phone

(215) 386-2942

Fax

(215) 386-3335

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Venzie, NHA

Title

Administrator

Phone

(215) 823-4747

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Presbyterian Medical Center of the University of Pennsylvania Health S

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1801202817

  Member Of

  NPD member

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1164469003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042612",
            "telephone_number": "215-386-2942",
            "fax_number": "215-662-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042612",
            "telephone_number": "215-386-2942",
            "fax_number": "215-386-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN CENTER FOR REHABILIATION AND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "VENZIE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-823-4747",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "180102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164469003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010643250002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Penn 1 Dental
• Penn 1 Family Dental
• Penn Acupuncture Partners
• Penn Asian Healthcare Services LLC
• Penn Asian Senior Services, Inc.
• Penn Dental Center PC
• Penn Diagnostic Co.
• Penn Ergonomics, LLC
• Penn Executive Diagnostic Center, Inc.
• Penn Executive Diagnostic Center, Inc.

• 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 Feb 17, 2016; 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.