Organization Active NPI

Marwood Rest Home, Inc.

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1225036544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
131302 Issued in PA
Legal business name
MARWOOD REST HOME, INC.
Practice address
1020 Oak Lane Ave
Philadelphia, PA 19126-3340
Phone
(215) 224-9898
Fax
(215) 224-9897
NPI assigned
Jul 11, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. M. Scott Carpenter, NHA
Title
Administrator
Phone
(215) 224-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 131302 PA Primary

Addresses

Primary practice location

1020 Oak Lane Ave
Philadelphia, PA 19126-3340

Mailing address

1020 Oak Lane Ave
Philadelphia, PA 19126-3340
Phone (215) 224-9898

Other identifiers 1

IdentifierTypeStateIssuer
0007548970001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225036544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 OAK LANE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191263340",
            "telephone_number": "215-224-9898",
            "fax_number": "215-224-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 OAK LANE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191263340",
            "telephone_number": "215-224-9898",
            "fax_number": "215-224-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWOOD REST HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-224-9898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "131302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007548970001",
            "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 Aug 22, 2020; 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.