Organization Active NPI

850 Paper Mill Road Operations LLC

  • Skilled Nursing Facility
  • Glenside, PA
National Provider Identifier
1922280239
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
580502 Issued in PA
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

Updated by the provider on Jul 19, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102570265 0001MedicaidPA

Other names 1

  • Fairview Care Center of Paper Mill Road Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.