Provider Demographics
NPI:1437270212
Name:SILVER STREAM CENTER
Entity Type:Organization
Organization Name:SILVER STREAM CENTER
Other - Org Name:GENESIS ELDER CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:215-646-1500
Mailing Address - Street 1:514 GOLDFINCH LN
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2544
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:905 PENLLYN PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGHOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477
Practice Address - Country:US
Practice Address - Phone:215-646-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017909314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility