Healthcare Provider Details

I. General information

NPI: 1821444209
Provider Name (Legal Business Name): FOX SUBACUTE AT SOUTH PHILADELPHIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1930 SOUTH BROAD STREET
PHILADELPHIA PA
19145
US

IV. Provider business mailing address

350 W MAIN ST STE 101
TRAPPE PA
19426-1989
US

V. Phone/Fax

Practice location:
  • Phone: 484-342-4153
  • Fax: 610-862-0614
Mailing address:
  • Phone: 484-342-4153
  • Fax: 610-862-0614

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: JULIE BASCOU
Title or Position: NHA
Credential:
Phone: 215-709-4000