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125 Holly Road Operations Llc
Skilled Nursing Facility in Hamburg, Pennsylvania
NPI 1356523666

125 Holly Road Operations Llc is a Skilled Nursing Facility based in Kennett Square, PA. 125 Holly Road Operations Llc practices in Hamburg, PA. The NPI Number for 125 Holly Road Operations Llc is 1356523666 and holds a License No. 222020 (Pennsylvania).

The current practice location address for 125 Holly Road Operations Llc is 125 Holly Rd, Hamburg, PA and can be reached out via phone at 610-562-2284 and via fax at 610-562-0776.

Location: 125 Holly Rd, Hamburg, PA, 19348-3109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356523666
Provider Name
125 Holly Road Operations Llc
Credential
Provider Entity Type
Organization
Address
125 Holly Rd, Hamburg, PA, 19348-3109
Phone Number
610-562-2284
Fax Number
610-562-0776
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1025701670001 05 PA
institution
Provider Business Practice Location Address Details
Address
125 Holly Rd
City
Hamburg
State
Pennsylvania
Zip
19526-8729
Phone Number
610-562-2284
Fax Number
610-562-0776
person
Provider Business Mailing Address Details
Address
125 Holly Rd
City
Hamburg
State
Pennsylvania
Zip
19526-8729
Phone Number
610-562-2284
Fax Number
610-562-0776
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
123902 (Pennsylvania)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
222020 (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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