3485 Davisville Road Operations LLC
Organization Active NPI Skilled Nursing Facility · Hatboro, PA
NPI 1760664171 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1760664171
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 069002 (PA)
- Legal business name
- 3485 DAVISVILLE ROAD OPERATIONS LLC
- Practice address
- 3485 Davisville Rd
Hatboro, PA 19040-4220 - Phone
- (215) 830-0400
- Fax
- (215) 830-0855
- NPI assigned
- Nov 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael T Berg
- Title
- Secretary
- Phone
- (610) 444-6350
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 069002 | PA | Yes |
Addresses
Primary practice location
3485 Davisville Rd
Hatboro, PA 19040-4220
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-2009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025720180001 | Medicaid | PA |
Other names
- PowerBack Rehabilitation 3485 Davisville Road
Other providers in Hatboro, PA
- 3485 Davisville Road Operations II LLC
- Stephan Achille
- Achilles Care LLC
- Advanced Dental Smiles
- Advanced Medical Brokerage
- Advantage Ambulance Group, Inc.
All providers in Hatboro, PA · Skilled Nursing Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.