Organization Active NPI

Gwynedd Square Center for Nursing and Convalescent Care

  • Skilled Nursing Facility
  • Lansdale, PA
National Provider Identifier
1285621722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
075002 Issued in PA
Legal business name
GWYNEDD SQUARE CENTER FOR NURSING AND CONVALESCENT CARE
Practice address
773 Sumneytown Pike
Lansdale, PA 19446-5301
Phone
(215) 699-5000
Fax
(215) 699-9409
NPI assigned
Sep 30, 2005
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. Morris Kaplan
Title
Administrator
Phone
(215) 699-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 075002 PA Primary

Addresses

Primary practice location

773 Sumneytown Pike
Lansdale, PA 19446-5301

Mailing address

773 Sumneytown Pike
Lansdale, PA 19446-5301
Phone (215) 699-5000

Other identifiers 1

IdentifierTypeStateIssuer
0007574870001MedicaidPA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0885945Gwynedd Square Center773 Sumneytown Pike, Lansdale, PA 19446Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

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": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285621722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 SUMNEYTOWN PIKE",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465301",
            "telephone_number": "215-699-5000",
            "fax_number": "215-699-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "773 SUMNEYTOWN PIKE",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465301",
            "telephone_number": "215-699-5000",
            "fax_number": "215-699-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWYNEDD SQUARE CENTER FOR NURSING AND CONVALESCENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-699-5000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "075002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007574870001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.