Philadelphia Protestant Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

681002 Issued in PA

Legal business name

PHILADELPHIA PROTESTANT HOME

Practice address

6500 Tabor Rd
Philadelphia, PA 19111-5332

Phone

(215) 697-8000

Fax

(215) 697-8018

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David Wicker

Title

Cfo

Phone

(215) 697-8357

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Skilled nursing facility certification: CCN 395961

Legal name

PHILADELPHIA PROTESTANT HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Sep 20, 1995

Last certification

Sep 19, 2024

Beds

116

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Mar 1, 1890 in PA

Enrollment address

6500 Tabor Road
Philadelphia, PA 19111-5332

Nursing home name

PHILADELPHIA PROTESTANT HOME

Listed as

Philadelphia Protestant HomeCCN 395961

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

5 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Sep 20, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11696.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Wayne Spector, D.O.

  • Internal Medicine Physician
  • Elkins Park, PA
  • NPI 1780613398
  NPD (past)

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jennifer Anne Erickson, N.P.

  • Gerontology Nurse Practitioner
  • Philadelphia, PA
  • NPI 1992856413

  Nursing home

  Care Compare affiliation
• Maria Fogata, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Jenkintown, PA
  • NPI 1609064112

  Nursing home

  Care Compare affiliation
• Larry Wayne Spector, D.O.

  • Internal Medicine Physician
  • Elkins Park, PA
  • NPI 1780613398

  Nursing home

  Care Compare affiliation
• Charles M. Wasserman, DO

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1093753949

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1477537827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 TABOR RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115332",
            "telephone_number": "215-697-8000",
            "fax_number": "215-697-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 TABOR RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191115332",
            "telephone_number": "215-697-8000",
            "fax_number": "215-697-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA PROTESTANT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "WICKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-697-8357",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "144500",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "681002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007494760001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "71-00802",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0005698000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Philadelphia Premium Homecare LLC
• Philadelphia Psychological Services
• Philadelphia Psychotherapy Group
• Philadelphia Radiation Oncology, P.C.
• Philadelphia Recovery Solutions LLC
• Philadelphia Rehab Medc

• 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 Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.