Organization Active NPI

Cliveden- Maplewood Convalescent Center Inc

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1205944402
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CLIVEDEN- MAPLEWOOD CONVALESCENT CENTER INC
Practice address
6400 Greene St
Philadelphia, PA 19119-3231
Phone
(215) 951-7630
Fax
(215) 844-8890
NPI assigned
Aug 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mr. Donald Levesque
Title
Vice President of Finance
Phone
(215) 951-4596

Specialties & licenses 1

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

Addresses

Primary practice location

6400 Greene St
Philadelphia, PA 19119-3231

Mailing address

6950 Germantown Ave
Philadelphia, PA 19119-2120
Phone (215) 951-7630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1205944402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192120",
            "telephone_number": "215-951-7630",
            "fax_number": "215-844-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 GREENE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191193231",
            "telephone_number": "215-951-7630",
            "fax_number": "215-844-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIVEDEN- MAPLEWOOD CONVALESCENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "215-951-4596",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 14, 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.