Provider Demographics
NPI:1790767226
Name:BIBLE FELLOWSHIP CHURCH HOMES, INC.
Entity Type:Organization
Organization Name:BIBLE FELLOWSHIP CHURCH HOMES, INC.
Other - Org Name:FELLOWSHIP MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZENTZ
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:610-799-3000
Mailing Address - Street 1:3000 FELLOWSHIP DR
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:PA
Mailing Address - Zip Code:18052-3343
Mailing Address - Country:US
Mailing Address - Phone:610-799-3000
Mailing Address - Fax:610-799-3099
Practice Address - Street 1:3000 FELLOWSHIP DR
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:PA
Practice Address - Zip Code:18052-3343
Practice Address - Country:US
Practice Address - Phone:610-799-3000
Practice Address - Fax:610-799-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA063102314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1203140001OtherHEALTH NOW NEW YORK, INC
PA715855OtherHGSA ADMINISTRATORS
PA1134930Medicaid
PA715855OtherHGSA ADMINISTRATORS