Active NPI
850 Paper Mill Road Operations LLC
- Skilled Nursing Facility
- Glenside, PA
National Provider Identifier
1922280239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 580502
- Legal business name
- 850 PAPER MILL ROAD OPERATIONS LLC
- Practice address
- 850 Paper Mill Rd
Glenside, PA 19038-7833 - Phone
- (215) 233-0920
- Fax
- (215) 836-1247
- NPI assigned
- Nov 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Dropeskey
- Title
- Data Manager
- Phone
- (610) 925-4231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 580502 | PA | Primary |
Addresses
Primary practice location
850 Paper Mill Rd
Glenside, PA 19038-7833
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102570265 0001 | Medicaid | PA |
Other names 1
- Fairview Care Center of Paper Mill Road
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311033600000",
"number": "1922280239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4436",
"fax_number": "610-925-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 PAPER MILL RD",
"city": "GLENSIDE",
"state": "PA",
"postal_code": "190387833",
"telephone_number": "215-233-0920",
"fax_number": "215-836-1247"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "850 PAPER MILL ROAD OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-28",
"last_updated": "2011-07-19",
"status": "A",
"authorized_official_last_name": "DROPESKEY",
"authorized_official_first_name": "JANE",
"authorized_official_title_or_position": "DATA MANAGER",
"authorized_official_telephone_number": "610-925-4231"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "PA",
"license": "580502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102570265 0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fairview Care Center of Paper Mill Road",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glenside, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.