Provider Demographics
NPI:1255338976
Name:CATHOLIC SENIOR HOUSING AND HEALTH CARE SERVICES INC
Entity type:Organization
Organization Name:CATHOLIC SENIOR HOUSING AND HEALTH CARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:HENEGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-865-5595
Mailing Address - Street 1:1200 SPRING STREET
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-4998
Mailing Address - Country:US
Mailing Address - Phone:610-865-5595
Mailing Address - Fax:610-865-6437
Practice Address - Street 1:1200 SPRING STREET
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-4998
Practice Address - Country:US
Practice Address - Phone:610-865-5595
Practice Address - Fax:610-865-6437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA082702314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007608140001Medicaid
PA1140550001Medicare NSC
PA395250Medicare PIN