Provider Demographics
NPI:1629004494
Name:GERIATRIC AND MEDICAL SERVICES INC.
Entity Type:Organization
Organization Name:GERIATRIC AND MEDICAL SERVICES INC.
Other - Org Name:SILVER STREAM CENTER
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 1:905 PENLLYN PIKE
Practice Address - Street 2:
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477
Practice Address - Country:US
Practice Address - Phone:215-646-1500
Practice Address - Fax:215-646-8123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA192702314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0005932000OtherAMERIHEALTH
215945OtherHEALTH AMERICA
2059548OtherAETNA-HMO
0005932000OtherIBC
1064605OtherKEYSTONE MERCY
PA1007727260012Medicaid
29705OtherHEALTH PARTNERS
71-00985OtherUNITED - EVERCARE
9906OtherELDER HEALTH
317136OtherUS FAMILY HEALTH PLAN
=========OtherAETNA-NONHMO
=========OtherCIGNA-PA
=========OtherHCPC
PA1007727260012Medicaid
29705OtherHEALTH PARTNERS