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Contact Information

JEWISH HOME OF EASTERN PENNSYLVANIA
1101 VINE ST
SCRANTON, PA18510-2126
 Phone: 570-344-6177
 Fax: 570-344-9610
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Facility Supplies

332BN1400X 87 All Other Suppliers
 

Parenteral & Enteral Nutrition

332BP3500X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JEWISH HOME OF EASTERN PENNSYLVANIA

NPI # 1235137472
LBN Legal business name JEWISH HOME OF EASTERN PENNSYLVANIA
Authorized official SAMUEL SANDHAUS - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2005
Last updated 04/22/2008 - About 18 years ago
Identifiers
PA License # 360402
PA Medicaid 0007472840001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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