Healthcare Provider Details

I. General information

NPI: 1295753978
Provider Name (Legal Business Name): STAPELEY HALL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6300 GREENE ST
PHILADELPHIA PA
19144-2510
US

IV. Provider business mailing address

6300 GREENE ST
PHILADELPHIA PA
19144-2596
US

V. Phone/Fax

Practice location:
  • Phone: 215-844-0700
  • Fax: 215-991-7124
Mailing address:
  • Phone: 215-844-0700
  • Fax: 215-991-7124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number455502
License Number StatePA

VIII. Authorized Official

Name: RONNIE CONNER
Title or Position: CORPORATE DIRECTOR OF RCM
Credential:
Phone: 267-885-6232