Provider Demographics
NPI:1376580779
Name:GENESIS ELDERCARE CENTERS-HARSTON, INC.
Entity Type:Organization
Organization Name:GENESIS ELDERCARE CENTERS-HARSTON, INC.
Other - Org Name:HARSTON HALL
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 1:350 HAWS LN
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-2100
Practice Address - Country:US
Practice Address - Phone:215-233-0700
Practice Address - Fax:215-233-1157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA080702314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
1086947OtherKEYSTONE MERCY
0005763000OtherAMERIHEALTH
0005763000OtherIBC
PA0019532040001Medicaid
28019OtherHEALTH PARTNERS
260253OtherHEALTH AMERICA
317117OtherUS FAMILY HEALTH PLAN
2058637OtherAETNA-HMO
71-00984OtherUNITED - EVERCARE
9900OtherELDER HEALTH
28019OtherHEALTH PARTNERS
317117OtherUS FAMILY HEALTH PLAN
71-00984OtherUNITED - EVERCARE
=========OtherCONSUMER HEALTH NETWORK
0005763000OtherIBC