Provider Demographics
NPI:1538103270
Name:CHANDLER HALL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:CHANDLER HALL HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:KILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-860-4000
Mailing Address - Street 1:99 BARCLAY ST
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1593
Mailing Address - Country:US
Mailing Address - Phone:215-860-4000
Mailing Address - Fax:215-860-3458
Practice Address - Street 1:99 BARCLAY ST
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1593
Practice Address - Country:US
Practice Address - Phone:215-860-4000
Practice Address - Fax:215-860-3458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-15
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA310400000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1003211530002Medicaid
PA395305Medicare Oscar/Certification