Healthcare Provider Details

I. General information

NPI: 1801054309
Provider Name (Legal Business Name): HILLSDALE NURSING AND REHABILITATION CENTER LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 MOUNTAIN VIEW DRIVE
HILLSDALE PA
15746
US

IV. Provider business mailing address

200 DRYDEN ROAD SUITE 2000
DRESHER PA
19025-1048
US

V. Phone/Fax

Practice location:
  • Phone: 215-441-7700
  • Fax: 215-441-4255
Mailing address:
  • Phone: 215-441-7700
  • Fax: 215-441-4255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number134402
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL DOMINIC D'ACCANGELO
Title or Position: PRESIDENT
Credential:
Phone: 215-441-7700