Healthcare Provider Details

I. General information

NPI: 1629004494
Provider Name (Legal Business Name): GERIATRIC AND MEDICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 PENLLYN PIKE
SPRING HOUSE PA
19477
US

IV. Provider business mailing address

101 E STATE ST
KENNETT SQUARE PA
19348-3109
US

V. Phone/Fax

Practice location:
  • Phone: 215-646-1500
  • Fax: 215-646-8123
Mailing address:
  • Phone: 610-925-4436
  • Fax: 610-925-4351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number192702
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0005932000
Identifier TypeOTHER
Identifier State
Identifier IssuerAMERIHEALTH
# 2
Identifier215945
Identifier TypeOTHER
Identifier State
Identifier IssuerHEALTH AMERICA
# 3
Identifier2059548
Identifier TypeOTHER
Identifier State
Identifier IssuerAETNA-HMO
# 4
Identifier0005932000
Identifier TypeOTHER
Identifier State
Identifier IssuerIBC
# 5
Identifier1064605
Identifier TypeOTHER
Identifier State
Identifier IssuerKEYSTONE MERCY
# 6
Identifier1007727260012
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 7
Identifier29705
Identifier TypeOTHER
Identifier State
Identifier IssuerHEALTH PARTNERS
# 8
Identifier71-00985
Identifier TypeOTHER
Identifier State
Identifier IssuerUNITED - EVERCARE
# 9
Identifier9906
Identifier TypeOTHER
Identifier State
Identifier IssuerELDER HEALTH
# 10
Identifier317136
Identifier TypeOTHER
Identifier State
Identifier IssuerUS FAMILY HEALTH PLAN

VIII. Authorized Official

Name: JANE DROPESKEY
Title or Position: CORPORATE MANAGER
Credential:
Phone: 610-925-4231