Ivy Hill Rehab Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

IVY HILL REHAB CENTER LLC

Practice address

140 Ivy Hill Road
Wyndmoor, PA 19150

Phone

(215) 233-1314

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Terri R Sherman

Title

Coo

Phone

(908) 315-3400

Specialties & licenses 1

Addresses

Other names 1

• Ivy Hill Rehab Center Doing business as

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1609319797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BIRCHWOOD AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162510",
            "telephone_number": "908-315-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 IVY HILL ROAD",
            "city": "WYNDMOOR",
            "state": "PA",
            "postal_code": "19150",
            "telephone_number": "215-233-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVY HILL REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "908-315-3400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ivy Hill Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Wittels, M.D. LLC
• David Stewart Henrich, LCSW, BCD
• Amanda B Hirsch
• Carmen D Hubbard
• Abigail Huntington-Kadesch, MFT, OTR
• Ivy Hill SNF LLC
• James Doghramji, MD, LLC
• Sahani Jayatilaka, DO
• Kagen & Bardin Associates LLP
• Richard D Kagen, 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 Nov 22, 2016; 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.