Organization Active NPI

Tucker House Nursing and Rehabilitation Center PA, LP

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1467744383
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
369402 Issued in PA
Legal business name
TUCKER HOUSE NURSING AND REHABILITATION CENTER PA, LP
Practice address
1001 Wallace St
Philadelphia, PA 19123-2502
Phone
(410) 923-2415
Fax
(410) 923-2416
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Barbara McAdams
Title
Director of Accounts Receivable
Phone
(410) 923-2415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 369402 PA Primary

Addresses

Primary practice location

1001 Wallace St
Philadelphia, PA 19123-2502

Mailing address

1922 Greenspring Dr
Suite 3
Timonium, MD 21093-7603
Phone (410) 923-2415

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1467744383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 GREENSPRING DR",
            "address_2": "SUITE 3",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937603",
            "telephone_number": "410-923-2415",
            "fax_number": "410-923-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WALLACE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232502",
            "telephone_number": "410-923-2415",
            "fax_number": "410-923-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCKER HOUSE NURSING AND REHABILITATION CENTER PA, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "MCADAMS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "410-923-2415"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "369402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.