NPIMap

Organization Active NPI

Saint Martha Manor

Doing business as St Martha Manor

  • Skilled Nursing Facility
  • Downingtown, PA
National Provider Identifier
1982680633
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
457402 Issued in PA
Legal business name
SAINT MARTHA MANOR
Doing business as
St Martha Manor
Practice address
470 Manor Ave
Downingtown, PA 19335-2545
Phone
(610) 873-8490
Fax
(610) 873-5684
NPI assigned
Dec 15, 2005
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 457402 PA Primary

Addresses

Primary practice location

470 Manor Ave
Downingtown, PA 19335-2545

Mailing address

470 Manor Ave
Downingtown, PA 19335-2545
Phone (610) 873-8490

Other identifiers 3

IdentifierTypeStateIssuer
5683OtherPAIOC/KEYSTONE
523892OtherPAAETNA
0011860410001MedicaidPA

Other names 1

  • St Martha Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
470 Manor 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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1982680633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 MANOR AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352545",
            "telephone_number": "610-873-8490",
            "fax_number": "610-873-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MANOR AVE",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193352545",
            "telephone_number": "610-873-8490",
            "fax_number": "610-873-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARTHA MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2012-01-19",
        "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": "457402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOC/KEYSTONE",
            "identifier": "5683",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "523892",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011860410001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Martha Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.