Healthcare Provider Details

I. General information

NPI: 1003523770
Provider Name (Legal Business Name): IVY HILL POST ACUTE NURSING & REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2022
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 IVY HILL RD
PHILADELPHIA PA
19150-1524
US

IV. Provider business mailing address

1401 IVY HILL RD
PHILADELPHIA PA
19150-1524
US

V. Phone/Fax

Practice location:
  • Phone: 215-233-5605
  • Fax:
Mailing address:
  • Phone: 215-233-5605
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: AVRAHAM ROSENBERG
Title or Position: MANAGER
Credential:
Phone: 215-233-5605