Provider Demographics
NPI:1275588626
Name:GENESIS ELDERCARE CENTERS CHAPEL MANOR INC
Entity Type:Organization
Organization Name:GENESIS ELDERCARE CENTERS CHAPEL MANOR INC
Other - Org Name:CHAPEL MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:1104 WELSH RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19115-3730
Practice Address - Country:US
Practice Address - Phone:215-676-9191
Practice Address - Fax:215-676-1266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA031602314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019547760001Medicaid
0005951000OtherAMERIHEALTH-TRADITIONAL
1068581OtherKEYSTONE MERCY
317237OtherUS FAMILY HEALTH PLAN
395449OtherHORIZON - SNF
449473OtherAETNA-HMO
001043OtherHORIZON - SUB
0005951000OtherAMERIHEALTH-MANAGED CARE
255072OtherHEALTH AMERICA
0005951000OtherIBC - TRADITIONAL
14693OtherHEALTH PARTNERS
0005951000OtherIBC - MANAGED CARE
9865OtherELDER HEALTH
395449OtherHORIZON - SNF
449473OtherAETNA-HMO
=========OtherAETNA-NONHMO
=========OtherHCPC
PA0019547760001Medicaid