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Immaculate Mary Home
Skilled Nursing Facility in Philadelphia, Pennsylvania
NPI 1205810587

Immaculate Mary Home is a Skilled Nursing Facility based in Philadelphia, PA. Immaculate Mary Home practices in Philadelphia, PA. The NPI Number for Immaculate Mary Home is 1205810587 and holds a License No. 090902 (Pennsylvania).

The current practice location address for Immaculate Mary Home is 2990 Holme Ave, Philadelphia, PA and can be reached out via phone at 215-335-2100 and via fax at 215-331-9105.

Location: 2990 Holme Ave, Philadelphia, PA, 19136-1830
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205810587
Provider Name
Immaculate Mary Home
Credential
Provider Entity Type
Organization
Address
2990 Holme Ave, Philadelphia, PA, 19136-1830
Phone Number
215-335-2100
Fax Number
215-331-9105
Provider Enumeration Date
12/01/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
0007570930002 05 PA
0556883 01 PA AETNA
395338 01 PA IBC KEYSTONE
institution
Provider Business Practice Location Address Details
Address
2990 Holme Ave
City
Philadelphia
State
Pennsylvania
Zip
19136-1830
Phone Number
215-335-2100
Fax Number
215-331-9105
person
Provider Business Mailing Address Details
Address
2990 Holme Ave
City
Philadelphia
State
Pennsylvania
Zip
19136-1830
Phone Number
215-335-2100
Fax Number
215-331-9105
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
090902 (Pennsylvania)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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