St. Agnes Continuing Care Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

971002 Issued in PA

Legal business name

ST. AGNES CONTINUING CARE CENTER

Practice address

1900 S Broad St
Philadelphia, PA 19145-2304

Phone

(215) 339-4100

Fax

(215) 339-0482

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa A. Gresko

Title

Chief Financial Officer, VP Finance

Phone

(215) 339-4223

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306841101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452304",
            "telephone_number": "215-339-4100",
            "fax_number": "215-339-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452304",
            "telephone_number": "215-339-4100",
            "fax_number": "215-339-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. AGNES CONTINUING CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRESKO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER, VP FINANCE",
        "authorized_official_telephone_number": "215-339-4223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "971002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Monica Manor
• Ciarah St Paul, MD
• Emma Dionne St Raymond, MD
• Line St-Vil
• St. Agnes Continuing Care Center (Mercy LIFE)
• St. Agnes Long Term Intensive Care, LLP
• St. Christopher's Healthcare, LLC (St. Christopher's Hospital for Children)
• St. Christopher's Healthcare, LLC (St. Christopher's Hospital for Children)
• St. Christopher's Hospital
• St. Christopher's Hospital for Children

• Skilled Nursing Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• 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.