Saint Agnes Continuing Care Center

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

SAINT AGNES CONTINUING CARE CENTER

Practice address

1900 S Broad St
Philadelphia, PA 19145-2304

Phone

(215) 339-4223

Fax

(215) 339-0482

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Schmotzer Sr.

Title

Director of Finance

Phone

(215) 339-4533

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Saint Agnes Continuing Care Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Saint Agnes Continuing Care Center

  • Adult Day Care Clinic/Center
  • Philadelphia, PA
  • NPI 1093840365
  NPD tax ID
• St. Agnes Continuing Care Center

  • PACE Provider Organization
  • Philadelphia, PA
  • NPI 1174881627
  NPD tax ID

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1881738565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452304",
            "telephone_number": "215-339-4223",
            "fax_number": "215-339-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191452304",
            "telephone_number": "215-339-4223",
            "fax_number": "215-339-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT AGNES CONTINUING CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "SCHMOTZER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "215-339-4533",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003050510004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gurjit Singh Saini, DO
• Manu Krishan Dev Saini, M.D.
• Pavneet Kaur Saini
• Dennis Sainsbury, PHARMD
• Saint Agnes Continuing Care Center
• Saint Ignatius Nursing Home
• Carline Saint-Cyr
• Sidney Saint-Hilaire
• Mariane Saint-Louis
• Martine Saint-Vil, CSP

• PACE Provider Organization in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• PACE Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.