The 58TH Street Presbyterian Homes

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

316170 Issued in PA

Legal business name

THE 58TH STREET PRESBYTERIAN HOMES

Doing business as

The Presbyterian Homes At 58th Street

Practice address

2050 S 58TH St
Philadelphia, PA 19143-5932

Phone

(215) 724-2218

Fax

(215) 724-6924

NPI assigned

Feb 20, 2007

Last updated

Aug 22, 2020By 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

Sharon Whitaker

Title

Administrator

Phone

(215) 724-2218

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Presbyterian Homes At 58th Street Doing business as

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588708655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 S 58TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435932",
            "telephone_number": "215-724-2218",
            "fax_number": "215-724-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S 58TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191435932",
            "telephone_number": "215-724-2218",
            "fax_number": "215-724-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE 58TH STREET PRESBYTERIAN HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-724-2218"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "316170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007778850002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Presbyterian Homes At 58th Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan William Thatcher, BA
• Parinita Thavanati, PA-C
• Andrew Thayer
• Jacquelyn Marie Thayer
• Meena Thayu, M.D.
• The Aeroclinic PHL
• The Afritude Institute
• The Afritude Institute,LLC (Tai)
• The American Oncologic Hospital
• The Andante Center, Inc

• 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 Aug 22, 2020; 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.