Organization Active NPI

Fox Subacute at South Philadelphia LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
National Provider Identifier
1821444209
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Practice address
1930 South Broad Street
Philadelphia, PA 19145
Phone
(484) 342-4153
Fax
(610) 862-0614
NPI assigned
May 4, 2016
Last updated
Nov 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Julie Bascou
Title
Nha
Phone
(215) 709-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

1930 South Broad Street
Philadelphia, PA 19145

Mailing address

350 W Main St Ste 101
Trappe, PA 19426-1989
Phone (484) 342-4153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161128001603 PA Part A Provider - Skilled Nursing Facility 8022397587 Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821444209. Details of each certification follow.

Skilled nursing facility certification: CCN 396141

Legal name
FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Doing business as
PHARMERICA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 27, 2016
Last certification
Feb 12, 2025
Beds
53
Ownership / control type
Nonprofit Corporation
Multi-facility organization
FOX SUBACUTE MANAGEMENT
Organization structure
LLCProprietary
Incorporated
Nov 11, 2015 in PA
Enrollment address
1930 South Broad Street
Philadelphia, PA 19145-2328
Nursing home name
FOX SUBACUTE AT SOUTH PHILADELPHIA

Care Compare: Nursing home

Medicare Care Compare
Listed as
Fox Subacute at South PhiladelphiaCCN 396141 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Dec 27, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5346.7 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
1Fines totaling $12,735

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2124818Fox Subacute at South Philadelphia1930 S Broad Street, Unit #24, Philadelphia, PA 19145Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

Locations

1930 S Broad St
Unit 4
Philadelphia, PA 19145
Phone (610) 502-4674

350 W Main St
Ste 101
Trappe, PA 19426

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Fox Subacute Management Inc Organization, Trappe, PA Corporation Operational/Managerial Control Nov 14, 2016 100%
Ralph Van Individual Corporate OfficerCfo Nov 11, 2015 100%
Operational/Managerial Control Nov 11, 2015
Adp of the SNF Nov 11, 2015
Achss Office Ventures II, LLC Organization, Philadelphia, PA LLC Adp of the SNF Dec 19, 2021
Malvern Constitution LLC Organization, Blue Bell, PA LLC Operational/Managerial Control Dec 1, 2022
Pharmacy Corporation of America Organization, Louisville, KY Corporation Adp of the SNF Jan 25, 2017
James M Foulke Individual 5% Or Greater Direct Ownership InterestCeo Nov 11, 2015 90%
Corporate OfficerCeo Nov 11, 2015 90%
Corporate Director Nov 11, 2015 90%
Operational/Managerial Control Nov 11, 2015
Managing Control - Governing BodyDirector Nov 11, 2015
Adp of the SNF Nov 11, 2015
Direct Ownership Interest Nov 11, 2015 90%
Isdaner & Company, LLC Organization, Bala Cynwyd, PA LLC, Consulting firm Adp of the SNF Nov 11, 2015
Orrstown Bank Organization, York, PA Corporation, Financial institution Adp of the SNF Nov 8, 2016
Intelycare Inc Organization, Quincy, MA Corporation Adp of the SNF Jan 1, 2018
Joseph F Murray Individual 5% Or Greater Direct Ownership InterestVP and General Counsel Nov 11, 2015 10%
Corporate OfficerVP and General Counsel Nov 11, 2015 10%
Corporate DirectorDirector Nov 11, 2015 100%
Operational/Managerial Control Nov 11, 2015
Managing Control - Governing BodyDirector Nov 11, 2015
Adp of the SNF Nov 11, 2015
Direct Ownership Interest Nov 11, 2015 10%
Hammad Raza Individual Operational/Managerial Control Mar 1, 2018
Adp of the SNF Mar 1, 2018
Geni Fisher Individual Corporate OfficerPresident Jan 1, 2023 100%
Corporate DirectorDirector Jan 1, 2023 100%
Operational/Managerial Control Jan 1, 2023
Managing Control - Governing BodyDirector Jan 1, 2023
Adp of the SNF Jan 1, 2023
Jalene Joy Dutka Individual Adp of the SNF Jun 17, 2020
Julie Bascou Individual Operational/Managerial Control Sep 9, 2020
Adp of the SNF Sep 9, 2020
Regina Gillmore Individual Operational/Managerial Control Aug 22, 2022
Adp of the SNF Aug 22, 2022
RKL LLP Organization, Lancaster, PA Consulting firm Adp of the SNF Nov 11, 2015

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1821444209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W MAIN ST STE 101",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194261989",
            "telephone_number": "484-342-4153",
            "fax_number": "610-862-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 SOUTH BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19145",
            "telephone_number": "484-342-4153",
            "fax_number": "610-862-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX SUBACUTE AT SOUTH PHILADELPHIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "BASCOU",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "NHA",
        "authorized_official_telephone_number": "215-709-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.