St Monica Manor

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

232602 Issued in PA

Legal business name

ST MONICA MANOR

Practice address

2509 S 4TH St
Philadelphia, PA 19148-4712

Phone

(215) 271-1080

Fax

(215) 271-6290

NPI assigned

Dec 1, 2005

Organization subpart

Yes

Parent organization

CATHOLIC HEALTHCARE SERVICESAs reported in NPPES

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 2

Other names 1

• St Monica Manor Doing business as

Tax ID family

2509 South Fourth Operating LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 2509 South Fourth Operating, LLC

  • Skilled Nursing Facility
  • Philadelphia, PA
  • NPI 1952719148
  NPD tax ID

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1871577155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484712",
            "telephone_number": "215-271-1080",
            "fax_number": "215-271-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 S 4TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191484712",
            "telephone_number": "215-271-1080",
            "fax_number": "215-271-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MONICA MANOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTHCARE SERVICES",
        "enumeration_date": "2005-12-01",
        "last_updated": "2008-06-18",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "232602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "0001247000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010293650001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Monica Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St John Neumann Nursing Home
• Kelly St John, RD, CSO, LDN
• Mary St Ledger, NP
• St Lukes Hospital
• St Monica Manor
• Ciarah St Paul, MD
• Emma Dionne St Raymond, MD
• Line St-Vil
• St. Agnes Continuing Care Center
• St. Agnes Continuing Care Center

• Skilled Nursing Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.