Wyncote Church Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

232102 Issued in PA

Legal business name

WYNCOTE CHURCH HOME

Doing business as

Phoebe Wyncote

Practice address

208 Fernbrook Avenue
Wyncote, PA 19095-1509

Phone

(215) 883-2620

Fax

(215) 885-9245

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Scott R Stevenson

Title

President/Ceo

Phone

(610) 794-5131

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Phoebe Wyncote Doing business as

Locations

Practitioners 1

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

• Gerald J. Hansen III, MD

  • Family Medicine Physician
  • Jenkintown, PA
  • NPI 1417957838
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1477665198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FERNBROOK AVENUE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951532",
            "telephone_number": "215-883-2620",
            "fax_number": "215-690-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 FERNBROOK AVENUE",
            "city": "WYNCOTE",
            "state": "PA",
            "postal_code": "190951509",
            "telephone_number": "215-883-2620",
            "fax_number": "215-885-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNCOTE CHURCH HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "610-794-5131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "232102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007565230002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoebe Wyncote",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce D Wilson-Roberts
• Wisteria Pain and Spine LLC
• Women Authentically Win LLC
• Jean Hampton Woods, RNPMHCNS-BC
• Wyncote Care LLC
• Wyncote Healthcare Corp
• Wyncote Healthcare LLC
• Wyncote Physical Medicine & Diagnostic PC
• Yana Medical LLC
• Wai Shing Yee, DPT

• Skilled Nursing Facility in Wyncote, PA
• Providers in Wyncote, 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 Dec 22, 2015; 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.