Healthcare Provider Details

I. General information

NPI: 1376530469
Provider Name (Legal Business Name): INGLIS HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 09/13/2022
Certification Date: 09/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 BELMONT AVE
PHILADELPHIA PA
19131-2713
US

IV. Provider business mailing address

2600 BELMONT AVE
PHILADELPHIA PA
19131-2713
US

V. Phone/Fax

Practice location:
  • Phone: 215-878-5600
  • Fax:
Mailing address:
  • Phone: 215-878-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number090202
License Number StatePA

VIII. Authorized Official

Name: CHRISTOPHER BATHE
Title or Position: VP, CHIEF FINANCIAL OFFICER
Credential:
Phone: 215-581-0743