Provider Demographics
NPI:1427004100
Name:GERIATRIC AND MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:GERIATRIC AND MEDICAL SERVICES, INC
Other - Org Name:COOPER RIVER WEST
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 1:5101 N PARK DR
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-4643
Practice Address - Country:US
Practice Address - Phone:856-665-8844
Practice Address - Fax:856-665-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ060415314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0005758000OtherAMERIHEALTH-MANAGED CARE
0005758000OtherIBC-MANAGED CARE
NJ04180Medicaid
000826OtherHORIZON - SUB
315225OtherHORIZION - SNF
0005758000OtherIBC - TRADITIONAL
4470109OtherUNISYS
865792OtherAETNA-HMO
10425OtherELDER HEALTH
314746OtherUS FAMILY HEALTH PLAN
0005758000OtherAMERIHEALTH - TRADITIONAL
0005758000OtherAMERIHEALTH - TRADITIONAL
NJ04180Medicaid
0005758000OtherIBC - TRADITIONAL
=========OtherCONSUMER HEALTH NETWORK
=========OtherCIGNA-NJ