Healthcare Provider Details

I. General information

NPI: 1487644225
Provider Name (Legal Business Name): HOLY REDEEMER HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 02/20/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8580 VERREE RD
PHILADELPHIA PA
19111-1370
US

IV. Provider business mailing address

8580 VERREE RD
PHILADELPHIA PA
19111-1370
US

V. Phone/Fax

Practice location:
  • Phone: 215-214-2800
  • Fax: 215-745-6713
Mailing address:
  • Phone: 215-214-2800
  • Fax: 215-745-6713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number125602
License Number StatePA

VIII. Authorized Official

Name: BRIAN FALLON
Title or Position: VICE PRESIDENT OF FINANCE, LIFECARE
Credential:
Phone: 215-856-1123