Organization Active NPI

Holland Glen

  • Skilled Nursing Facility
  • Hatboro, PA
National Provider Identifier
1447206453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
117470 Issued in PA
Legal business name
HOLLAND GLEN
Practice address
412 S York Rd
Hatboro, PA 19040-3949
Phone
(215) 441-1178
Fax
(215) 441-1197
NPI assigned
May 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Sheila M Bentzel
Title
Controller
Phone
(215) 766-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 117470 PA Primary

Addresses

Primary practice location

412 S York Rd
Hatboro, PA 19040-3949

Mailing address

6151 Kellers Church Rd
Pipersville, PA 18947-1021
Phone (215) 766-1500

Other identifiers 1

IdentifierTypeStateIssuer
1000026520005MedicaidPA

National Provider Directory

National Provider Directory

Locations

412 S York Rd
Hatboro, PA 19040
Phone (215) 441-1178

6151 Kellers Church Rd
Pipersville, PA 18947
Phone (215) 766-1500

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447206453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 KELLERS CHURCH RD",
            "city": "PIPERSVILLE",
            "state": "PA",
            "postal_code": "189471021",
            "telephone_number": "215-766-1500",
            "fax_number": "215-766-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S YORK RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190403949",
            "telephone_number": "215-441-1178",
            "fax_number": "215-441-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND GLEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENTZEL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "215-766-1500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "117470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000026520005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatboro, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.