Richboro SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032802 Issued in PA

Legal business name

RICHBORO SNF LLC

Doing business as

DBA Richboro Care Center

Practice address

253 Twining Ford Rd
Richboro, PA 18954-1843

Phone

(215) 357-2032

Fax

(215) 357-6968

NPI assigned

Apr 10, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Yossi Zucker

Title

Controller

Phone

(866) 942-1344

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• DBA Richboro Care Center Doing business as

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396708467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4597 ROUTE 9 N",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313382",
            "telephone_number": "866-942-1344",
            "fax_number": "215-357-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 TWINING FORD RD",
            "city": "RICHBORO",
            "state": "PA",
            "postal_code": "189541843",
            "telephone_number": "215-357-2032",
            "fax_number": "215-357-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHBORO SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZUCKER",
        "authorized_official_first_name": "YOSSI",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "866-942-1344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "032802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE 65",
            "identifier": "0005752000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "17270",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011293400001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "0112934001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0005752000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTHPLAN",
            "identifier": "1045041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "57586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Richboro Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Richboro, PA
• Providers in Richboro, 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 Jul 21, 2022; 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.