NAZARETH HOSPITAL
NPI 1083611487
Skilled Nursing Facility in Philadelphia, PA
- Organization
- Skilled Nursing Facility
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 39D0692206
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 01-02-2027
About NAZARETH HOSPITAL
This page provides the complete NPI Profile along with additional information for Nazareth Hospital, a provider established in Philadelphia, Pennsylvania operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1083611487 assigned on June 2005. The practitioner's primary taxonomy code is 314000000X with license number 400302 (PA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. David A. Wajda (Chief Financial Officer, Vp Finance)
- NPI
- 1083611487 Verify this NPI
- Provider Name
- NAZARETH HOSPITAL
- Entity Type
- Organization
- Location Address
- 2601 HOLME AVE PHILADELPHIA, PA 19152
- Location Phone
- (215) 335-6000
- Location Fax
- (215) 335-6303
- Mailing Address
- 2601 HOLME AVE PHILADELPHIA, PA 19152
- Mailing Phone
- (215) 335-6000
- Mailing Fax
- (215) 335-6303
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2005
- Last Update Date
- 08-22-2020
- Code Navigator
Nazareth Hospital is a medicare supplier with PTAN 20668763 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 400302
- License State
- PA
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20668763
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Infusion Drugs -
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D0692206
- Facility Type
- Hospital
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- DR. MARK J. IGOE
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Nazareth Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
PHILADELPHIA, PA 19152
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083611487, enumerated as an "organization" on June 30, 2005.
The provider is located at 2601 HOLME AVE PHILADELPHIA, PA 19152 and the phone number is (215) 335-6000.
Skilled Nursing Facility with taxonomy code 314000000X.
