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1275588626

NPI Code Detail

MEDICARE: GENESIS ELDERCARE CENTERS CHAPEL MANOR INC

MEDICARE: GENESIS ELDERCARE CENTERS CHAPEL MANOR INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	031602	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0005951000	OTHER		AMERIHEALTH-TRADITIONAL
3	1068581	OTHER		KEYSTONE MERCY
4	317237	OTHER		US FAMILY HEALTH PLAN
5	395449	OTHER		HORIZON - SNF
6	449473	OTHER		AETNA-HMO
7	001043	OTHER		HORIZON - SUB
8	0005951000	OTHER		AMERIHEALTH-MANAGED CARE
9	255072	OTHER		HEALTH AMERICA
10	0005951000	OTHER		IBC - TRADITIONAL
11	14693	OTHER		HEALTH PARTNERS
12	0005951000	OTHER		IBC - MANAGED CARE
13	9865	OTHER		ELDER HEALTH

General Provider Information

NPI Number	:	1275588626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENESIS ELDERCARE CENTERS CHAPEL MANOR INC

Provider Business Mailing Address
First Line	:	101 E STATE ST
Second Line	:
City	:	KENNETT SQUARE
State	:	PA
Zip	:	19348-3109
Country	:	US
Telephone Number	:	610-925-4436
Fax Number	:	610-925-4351

Provider Business Practice Location Address
First Line	:	1104 WELSH RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-3730
Country	:	US
Telephone Number	:	215-676-9191
Fax Number	:	215-676-1266

Authorized Official
Title or Position	:	CORPORATE MANAGER
Name	:	JANE DROPESKEY
Credential	:
Telephone Number	:	610-925-4231

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	06/21/2018

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Directions to “GENESIS ELDERCARE CENTERS CHAPEL MANOR INC ” Practice Location

Language	Start Address	Practice Location

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