Parke Ridge Assisted Living Assoc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

107870 Issued in PA

Legal business name

PARKE RIDGE ASSISTED LIVING ASSOC.

Doing business as

Harmony Place Assisted Living

Practice address

8420 Roosevelt Blvd
Philadelphia, PA 19152-2064

Phone

(215) 708-2200

Fax

(215) 708-8711

NPI assigned

Jun 10, 2008

Organization subpart

Yes

Parent organization

PARKE RIDGE ASSISTED LIVING ASSOC.As reported in NPPES

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

Authorized official

Name

Ms. Kristin Ebner

Title

Administrator

Phone

(215) 708-2200

Specialties & licenses 1

Addresses

Other names 1

• Harmony Place Assisted Living Doing business as

Part of

Parke Ridge Assisted Living Assoc

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1750541231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522064",
            "telephone_number": "215-708-2200",
            "fax_number": "215-708-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 ROOSEVELT BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191522064",
            "telephone_number": "215-708-2200",
            "fax_number": "215-708-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKE RIDGE ASSISTED LIVING ASSOC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARKE RIDGE ASSISTED LIVING ASSOC.",
        "enumeration_date": "2008-06-10",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "EBNER",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-708-2200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "107870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Place Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sung Hwan Park
• Tanya J Park
• Yelim Park
• Yeun-June Park, DMD, MSD
• Yurea Park
• Parker All Inclusive Care LLC
• Benjamin H Parker-Goos, MD
• Anna Parker
• Benjamin Stanley Parker, MD, MBA
• Beverly Gail Parker, M.P.T.

• Assisted Living Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.