St Francis Country House

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

190502 Issued in PA

Legal business name

ST FRANCIS COUNTRY HOUSE

Practice address

1412 Lansdowne Ave
Darby, PA 19023-1218

Phone

(610) 461-6510

Fax

(215) 368-5254

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760559199",
    "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": "215-368-5254"
        },
        {
            "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": "215-368-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST FRANCIS COUNTRY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "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": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "PA",
            "license": "190502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC DME SUPPLIER #",
            "identifier": "0648810001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ogboo Sosi, RPH
• Southeast Pennsylvania Surgical Associates
• Aparna Srinivasa Babu, M.D.
• Varsha Sriram, MD, MPH
• St Francis Country House
• Erika Leigh Staab, DPT
• Gregory Conrad Stachelek, M.D., PH.D.
• Staffing Village Inc.
• Stat One Ambulance
• Amelia Jennie Steady, BS

• Parenteral & Enteral Nutrition Supplies (DME) in Darby, PA
• Providers in Darby, PA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) 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.