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NPI Code Detail

MEDICARE: SACRED HEART MANOR, INC

MEDICARE: SACRED HEART MANOR, 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
1310400000XAssisted Living Facility185860PA
2314000000XSkilled Nursing Facility191802PA

Other Identifiers

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

General Provider Information

NPI Number : 1811994460
Entity Type Code : Organization
Provider Name (Legal Business Name) : SACRED HEART MANOR, INC
Provider Business Mailing Address
First Line : 6445 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-2345
Country : US
Telephone Number : 215-438-5268
Fax Number : 215-951-0798
Provider Business Practice Location Address
First Line : 6445 GERMANTOWN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19119-2345
Country : US
Telephone Number : 215-438-5268
Fax Number : 215-951-0798
Authorized Official
Title or Position : ADMINISTRATOR
Name : SISTER FIDELIS M REGAN
Credential : NHA, RN
Telephone Number : 215-438-5268
Provider Enumeration Date : 06/28/2005
Last Update Date : 09/11/2025

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Directions to “SACRED HEART MANOR, INC ” Practice Location

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