Provider Demographics
NPI:1770026403
Name:DOYLESTOWN CARE AND REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:DOYLESTOWN CARE AND REHABILITATION CENTER LLC
Other - Org Name:DOYLESTOWN CARE AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-635-1195
Mailing Address - Street 1:432 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4414
Mailing Address - Country:US
Mailing Address - Phone:215-345-1452
Mailing Address - Fax:215-345-6816
Practice Address - Street 1:432 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4414
Practice Address - Country:US
Practice Address - Phone:215-345-1452
Practice Address - Fax:215-345-6816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA39-5277OtherPTAN
395277Medicare Oscar/Certification