Provider Demographics
NPI:1639981442
Name:NH BV EAST NORRITON TENANT LLC
Entity type:Organization
Organization Name:NH BV EAST NORRITON TENANT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED SIGNATORY
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-962-0595
Mailing Address - Street 1:300 E GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:EAST NORRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19401
Mailing Address - Country:US
Mailing Address - Phone:610-239-7700
Mailing Address - Fax:610-239-0803
Practice Address - Street 1:300 E GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:EAST NORRINGTON
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:610-239-7700
Practice Address - Fax:610-239-0803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)