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1770562688

NPI Code Detail

MEDICARE: ASHTON HALL INC

MEDICARE: ASHTON HALL INC

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	0114 02	PA
2	310400000X	Assisted Living Facility	145350	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	116981 0001	OTHER	PA	DMERC A MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0101946401	OTHER	PA	AMERICHOICE
2	0006002 000	OTHER	PA	BLUE CROSS KEYSTONE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1052293	OTHER	PA	KEYSTONE MERCY
6	13112	OTHER	PA	AETNA US HEALTHCARE
7	20134	OTHER	PA	HEALTH PARTNERS SENIOR PA

General Provider Information

NPI Number	:	1770562688
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASHTON HALL INC

Provider Business Mailing Address
First Line	:	106 LAKESIDE DRIVE
Second Line	:
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966
Country	:	US
Telephone Number	:	215-355-6288
Fax Number	:	215-355-8127

Provider Business Practice Location Address
First Line	:	2109 RED LION RD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19115-1711
Country	:	US
Telephone Number	:	215-673-7000
Fax Number	:	215-698-4997

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. STANLEY J SEGAL
Credential	:	MHA
Telephone Number	:	215-355-6288

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	09/11/2025

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Directions to “ASHTON HALL INC ” Practice Location

Language	Start Address	Practice Location

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