Provider Demographics
NPI:1851395396
Name:THE REHABILITATION GROUP OF PENNSYLVANIA, INC,
Entity Type:Organization
Organization Name:THE REHABILITATION GROUP OF PENNSYLVANIA, INC,
Other - Org Name:TOWNE MANOR WEST CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:JAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-346-6454
Mailing Address - Street 1:1675 PALM BEACH LAKES BLVD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401
Mailing Address - Country:US
Mailing Address - Phone:561-801-7600
Mailing Address - Fax:414-268-4811
Practice Address - Street 1:205 E JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-2041
Practice Address - Country:US
Practice Address - Phone:610-275-6410
Practice Address - Fax:610-275-4186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-13
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA124302314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007716300005Medicaid
PA395346Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER