Ivy Hill SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IVY HILL SNF LLC

Practice address

1401 Ivy Hill Rd
Wyndmoor, PA 19150-1516

Phone

(215) 233-5605

NPI assigned

Feb 6, 2008

Last updated

Apr 9, 2008By 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

Nathan Stern

Title

Authorized Member

Phone

(732) 942-1644

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1558549170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4597 ROUTE 9 N",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 IVY HILL RD",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "191501516",
            "telephone_number": "215-233-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HILL SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "732-942-1644"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Stewart Henrich, LCSW, BCD
• Amanda B Hirsch
• Carmen D Hubbard
• Abigail Huntington-Kadesch, MFT, OTR
• Ivy Hill Rehab Center LLC (Ivy Hill Rehab Center)
• James Doghramji, MD, LLC
• Sahani Jayatilaka, DO
• Kagen & Bardin Associates LLP
• Richard D Kagen, MD
• Mark Bennet Kahn, MD

• Skilled Nursing Facility in Wyndmoor, PA
• Providers in Wyndmoor, 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 Apr 9, 2008; 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.