St John Neumann Nursing Home

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

452202 Issued in PA

Legal business name

ST JOHN NEUMANN NURSING HOME

Practice address

10400 Roosevelt Blvd
Philadelphia, PA 19116-3905

Phone

(215) 698-5600

Fax

(215) 368-5254

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael Czekner

Title

Chief Financial Officer

Phone

(215) 368-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1205903630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163905",
            "telephone_number": "215-698-5600",
            "fax_number": "215-368-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191163905",
            "telephone_number": "215-698-5600",
            "fax_number": "215-368-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN NEUMANN NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "CZEKNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "215-368-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PA",
            "license": "452202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Francis St Joseph Homes for Children
• St Gabriels System
• St Gabriels System
• Katina St Jean
• St John Neumann Nursing Home
• Kelly St John, RD, CSO, LDN
• Mary St Ledger, NP
• St Lukes Hospital
• St Monica Manor
• St Monica Manor

• Parenteral & Enteral Nutrition Supplies (DME) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.