Care Pavillion of Walnut Park, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

292002 Issued in PA

Legal business name

CARE PAVILLION OF WALNUT PARK, LLC

Doing business as

Aristacare at Care Pavillion

Practice address

6212 Walnut St
Philadelphia, PA 19139-3706

Phone

(215) 476-6264

NPI assigned

May 6, 2009

Organization subpart

No

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

Authorized official

Name

Heshy Klein

Title

Member

Phone

(908) 315-3410

Specialties & licenses 1

Addresses

Other names 1

• Aristacare at Care Pavillion Doing business as

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250035200000",
    "number": "1437383353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 CRAGWOOD RD",
            "address_2": "SUITE # 101",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802405",
            "telephone_number": "908-315-3400",
            "fax_number": "908-292-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 WALNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191393706",
            "telephone_number": "215-476-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PAVILLION OF WALNUT PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-08-12",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "HESHY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "908-315-3410"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "292002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aristacare at Care Pavillion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 12, 2009; 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.