Provider Demographics
NPI:1558303982
Name:GERIATRIC & MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:GERIATRIC & MEDICAL SERVICES INC
Other - Org Name:LIBERTY COURT
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 1:1526 LOMBARD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-1625
Practice Address - Country:US
Practice Address - Phone:610-925-4436
Practice Address - Fax:610-925-4351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-11
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA109540310400000X
PA200402314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
13060OtherAETNA-HMO
395485OtherHORIZION - SNF
1116531OtherKEYSTONE MERCY
317130OtherUS FAMILY HEALTH PLAN
9868OtherELDER HEALTH HMO
001023OtherHORIZION - SUB
PA1007727260019Medicaid
33741OtherHEALTH PARTNERS
0006178000OtherAMERIHEALTH
255076OtherHEALTH AMERICA
0006178000OtherIBC
=========OtherCONSUMER HEALTH NETWORK
317130OtherUS FAMILY HEALTH PLAN
=========OtherAETNA-NONHMO
13060OtherAETNA-HMO
9868OtherELDER HEALTH HMO