Provider Demographics
NPI:1700828001
Name:ACTS RETIREMENT-LIFE COMMUNITIES INC
Entity Type:Organization
Organization Name:ACTS RETIREMENT-LIFE COMMUNITIES INC
Other - Org Name:SPRING HOUSE ESTATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP, CFO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-661-8330
Mailing Address - Street 1:420 DELAWARE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-2711
Mailing Address - Country:US
Mailing Address - Phone:215-661-8330
Mailing Address - Fax:215-661-8316
Practice Address - Street 1:728 NORRISTOWN RD
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-2110
Practice Address - Country:US
Practice Address - Phone:215-628-8110
Practice Address - Fax:215-628-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA971502313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
0005826000OtherBLUE CROSS
0005826000OtherPERSONAL CHOICE
911024OtherKEYSTONE
005468OtherAETNA US HEALTHCARE
47562OtherPARTNERS MEDICARE CHOICE
47562OtherPARTNERS MEDICARE CHOICE
=========OtherHUMANA
395495Medicare ID - Type Unspecified