NPIMap

Organization Active NPI

Chandler Hall Health Services, Inc

  • Family Medicine Physician
  • Newtown, PA
National Provider Identifier
1336189935
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHANDLER HALL HEALTH SERVICES, INC
Practice address
99 Barclay St
Newtown, PA 18940-1593
Phone
(215) 860-4000
Fax
(215) 860-3458
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Lynette Killen
Title
Ceo
Phone
(215) 860-4000

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Assisted Living Facility 310400000X PA
Skilled Nursing Facility 314000000X PA
Inpatient Hospice 315D00000X PA

Addresses

Primary practice location

99 Barclay St
Newtown, PA 18940-1593

Mailing address

99 Barclay St
Newtown, PA 18940-1593
Phone (215) 860-4000

Other identifiers 1

IdentifierTypeStateIssuer
0696156000OtherPAIBC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615001117 PA Part B Supplier - Clinic/Group Practice 3375452048 Receives reassigned benefits from 5 practitioners
Practice locations: Newtown, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Chandler Hall Health Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

99 Barclay St
Newtown, PA 18940
Phone (215) 497-0905

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chandler Hall Health Services, IncNewtown, PA, CCN 395305 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 5

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": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1336189935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 BARCLAY ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401593",
            "telephone_number": "215-860-4000",
            "fax_number": "215-860-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 BARCLAY ST",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189401593",
            "telephone_number": "215-860-4000",
            "fax_number": "215-860-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDLER HALL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "KILLEN",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-860-4000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0696156000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.