Organization Active NPI

Tenet Healthsystem Graduate, LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1700811668
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
073001 Issued in PA
Legal business name
TENET HEALTHSYSTEM GRADUATE, LLC
Doing business as
Graduate Hospital
Practice address
1800 Lombard St
Philadelphia, PA 19146-8400
Phone
(215) 893-2000
NPI assigned
Jul 11, 2006
Organization subpart
Yes
Parent organization
TENET HEALTHSYSTEM GRADUATE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Authorized official

Name
Mr. Douglas E. Rabe
Title
VP of Taxation, Tenet Healthcare
Phone
(469) 893-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 073001 PA Primary

Addresses

Primary practice location

1800 Lombard St
Philadelphia, PA 19146-8400

Mailing address

PO Box 828120
Philadelphia, PA 19182-8120
Phone (215) 255-3152

Other names 1

  • Graduate Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Tenet Healthsystem Grad

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1700811668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828120",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191828120",
            "telephone_number": "215-255-3152",
            "fax_number": "215-893-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LOMBARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191468400",
            "telephone_number": "215-893-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENET HEALTHSYSTEM GRADUATE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENET HEALTHSYSTEM GRADUATE, LLC",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "RABE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "VP OF TAXATION, TENET HEALTHCARE",
        "authorized_official_telephone_number": "469-893-2530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "073001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graduate Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Graduate Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.