Active NPI
St Francis Country House
- Skilled Nursing Facility
- Darby, PA
National Provider Identifier
1619951993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 190502
- Legal business name
- ST FRANCIS COUNTRY HOUSE
- Doing business as
- St Francis Country House
- Practice address
- 1412 Lansdowne Ave
Darby, PA 19023-1218 - Phone
- (610) 461-6510
- Fax
- (610) 461-3558
- NPI assigned
- Dec 1, 2005
- Organization subpart
- Yes
- Parent organization
- CATHOLIC HEALTH CARE SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael Czekner
- Title
- Chief Financial Officer
- Phone
- (215) 368-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 190502 | PA | Primary |
Addresses
Primary practice location
1412 Lansdowne Ave
Darby, PA 19023-1218
Mailing address
1412 Lansdowne Ave
Darby, PA 19023-1218
Phone (610) 461-6510
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5872 | Other | PA | IBC |
| 093185 | Other | PA | AETNA |
| 0007494300003 | Medicaid | PA |
Other names 1
- St Francis Country House
National Provider Directory
National Provider Directory- Tax ID family
- 1412 Lansdowne Operating LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Darby, PA
- NPI 1922416270
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Adult Day Care Clinic/Center
- Souderton, PA
- NPI 1033597638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1619951993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 LANSDOWNE AVE",
"city": "DARBY",
"state": "PA",
"postal_code": "190231218",
"telephone_number": "610-461-6510",
"fax_number": "610-461-3558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 LANSDOWNE AVE",
"city": "DARBY",
"state": "PA",
"postal_code": "190231218",
"telephone_number": "610-461-6510",
"fax_number": "610-461-3558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST FRANCIS COUNTRY HOUSE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CATHOLIC HEALTH CARE SERVICES",
"enumeration_date": "2005-12-01",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "CZEKNER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "215-368-0900",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "190502",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC",
"identifier": "5872",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "093185",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007494300003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St Francis Country House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Darby, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.