Organization Active NPI

Chestnut Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1194223693
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CHESTNUT NURSING AND REHABILITATION CENTER, LLC
Practice address
3609 Chestnut St
Philadelphia, PA 19104
Phone
(443) 871-1892
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Mrs. Barbara McAdams
Title
Director of Accounts Receivable
Phone
(443) 871-1892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X MD Primary

Addresses

Primary practice location

3609 Chestnut St
Philadelphia, PA 19104

Mailing address

1922 Greenspring Dr Ste 6
Timonium, MD 21093-7603
Phone (443) 871-1892

Other identifiers 1

IdentifierTypeStateIssuer
1035025730001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1922 Greenspring Dr
Ste 6
Timonium, MD 21093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1194223693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 GREENSPRING DR STE 6",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937603",
            "telephone_number": "443-871-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "443-871-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "MCADAMS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "443-871-1892",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035025730001",
            "state": "PA"
        }
    ],
    "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 Jul 31, 2018; 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.