The Presbyterian Home at 58TH Street

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

421902 Issued in PA

Legal business name

THE PRESBYTERIAN HOME AT 58TH STREET

Doing business as

58th Street Presbyterian Home

Practice address

2050 South 58TH Street
Philadelphia, PA 19143-5910

Phone

(215) 724-2218

Fax

(215) 724-6924

NPI assigned

Oct 5, 2005

Last updated

Jul 6, 2010By 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

Mrs. Cynthia E Hoffman

Title

Chief Financial Officer

Phone

(610) 260-1133

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 58th Street Presbyterian Home Doing business as

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1467449322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JOSHUA RD",
            "city": "LAFAYETTE HILL",
            "state": "PA",
            "postal_code": "194442430",
            "telephone_number": "610-834-1001",
            "fax_number": "610-834-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 SOUTH 58TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435910",
            "telephone_number": "215-724-2218",
            "fax_number": "215-724-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRESBYTERIAN HOME AT 58TH STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "610-260-1133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "421902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100777885",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "58th Street Presbyterian Home",
            "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 Jul 6, 2010; 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.