Provider Demographics
NPI:1437146917
Name:SIMPSON HOUSE INC.
Entity Type:Organization
Organization Name:SIMPSON HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-871-5220
Mailing Address - Street 1:2101 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-1628
Mailing Address - Country:US
Mailing Address - Phone:215-878-3600
Mailing Address - Fax:215-931-9943
Practice Address - Street 1:2101 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1628
Practice Address - Country:US
Practice Address - Phone:215-878-3600
Practice Address - Fax:215-931-9943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA189210310400000X
PA192802314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7100799OtherEVERCARE
PA395121OtherKEYSTONE
PA00074856800002Medicaid
PA5934OtherBLUE CROSS
PA395121Medicare ID - Type Unspecified