Provider Demographics
NPI:1003148578
Name:ABRAMSON AT HOME, LLC
Entity Type:Organization
Organization Name:ABRAMSON AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:LLEWELLYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-371-1855
Mailing Address - Street 1:1425 HORSHAM RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1320
Mailing Address - Country:US
Mailing Address - Phone:215-371-1855
Mailing Address - Fax:215-371-3009
Practice Address - Street 1:1425 HORSHAM RD
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1320
Practice Address - Country:US
Practice Address - Phone:215-371-1855
Practice Address - Fax:215-371-3009
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE MADLYN AND LEONARD ABRAMSON CENTER FOR JEWISH LIFE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1700160314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007600910035Medicaid
PA006341OtherBLUE CROSS
PA006341OtherBLUE CROSS
PA391700Medicare Oscar/Certification
PA039191Medicare Oscar/Certification