MEDICARE: PETER BECKER COMMUNITY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	160602	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114920386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PETER BECKER COMMUNITY

Provider Business Mailing Address
First Line	:	800 MAPLE AVE
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1032
Country	:	US
Telephone Number	:	215-256-9501
Fax Number	:	215-256-9768

Provider Business Practice Location Address
First Line	:	800 MAPLE AVE
Second Line	:
City	:	HARLEYSVILLE
State	:	PA
Zip	:	19438-1032
Country	:	US
Telephone Number	:	215-256-9501
Fax Number	:	215-256-9768

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. CAROL A BERSTER
Credential	:	NHA,MBA,CASPF
Telephone Number	:	215-256-9501

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/09/2011

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Directions to “PETER BECKER COMMUNITY ” Practice Location

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