ST JOHN NEUMANN NURSING HOME
NPI 1134103419
Skilled Nursing Facility in Philadelphia, PA
NPI Status: Active since December 01, 2005
Contact Information
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
Phone: (215) 698-5600
Fax: (215) 698-5755
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 39D0199554
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-31-2026
About ST JOHN NEUMANN NURSING HOME
This page provides the complete NPI Profile along with additional information for St John Neumann Nursing Home, a provider established in Philadelphia, Pennsylvania operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1134103419 assigned on December 2005. The practitioner's primary taxonomy code is 314000000X with license number 452202 (PA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as St John Neumann Nursing Home. The authorized official of this NPI record is Mr. Michael Czener (Chief Financial Officer)
- NPI
- 1134103419
- Provider Legal Name
- ST JOHN NEUMANN NURSING HOME
- Other Organization Name
- ST JOHN NEUMANN NURSING HOME
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10400 ROOSEVELT BLVD PHILADELPHIA, PA 19116
- Location Phone
- (215) 698-5600
- Location Fax
- (215) 698-5755
- Mailing Address
- 10400 ROOSEVELT BLVD PHILADELPHIA, PA 19116
- Mailing Phone
- (215) 698-5600
- Mailing Fax
- (215) 698-5755
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-01-2005
- Last Update Date
- 06-16-2008
- Code Navigator
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.
- 452202
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0007512690001 | MEDICAID (05) | PA | |
| 005944 | OTHER (01) | PA | IBC KEYSTONE |
| 0535127 | OTHER (01) | PA | AETNA |
| 395182 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA |
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
- 39D0199554
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- DR. LARRY W. SPECTOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to St John Neumann Nursing Home to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ST JOHN NEUMANN NURSING HOME
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 1 | 0 | 3 | 4 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 2 | 0 | 6 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 2 + 0 + 6 + 4 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1134103419 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
ST JOHN NEUMANN NURSING HOME
Durable Medical Equipment & Medical Supplies
(Parenteral & Enteral Nutrition)
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
JILL CHEGUS PTA
Physical Therapy Assistant
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
CHRISTINE M. FREDERICKS P.T.
Physical Therapist
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
HONG HA THI NGUYEN OTR/L
Occupational Therapist
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
NE PHYSICIAN SERVICES INC
Family Medicine
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
DAVIDA LIGHTSEY M.A., CCC-SLP
Speech-Language Pathologist
10400 ROOSEVELT BLVD
REHAB DEPT
PHILADELPHIA, PA
ZIP 19116
SABRINA LAUREN CANILAO PTA
Physical Therapy Assistant
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
SOSHI SAMEJIMA
Physical Therapist
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
MR. WIESLAW PLONSKI PTA
Physical Therapy Assistant
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
JESSICA PENZA CCC-SLP
Speech-Language Pathologist
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
10400 ROOSEVELT OPERATING, LLC
Skilled Nursing Facility
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
DR. WHITNEY POSTMAN PH.D./CCC-SLP
Speech-Language Pathologist
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
DR. RICHARD STEPHEN MEAGHER PSYD
Psychologist
(Clinical)
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
LAURA MICHELE RUMBLE PTA
Physical Therapy Assistant
10400 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19116
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134103419, enumerated as an "organization" on December 01, 2005.
The provider is located at 10400 ROOSEVELT BLVD PHILADELPHIA, PA 19116 and the phone number is (215) 698-5600.
Skilled Nursing Facility with taxonomy code 314000000X.
The provider might be accepting Accepts: Aetna CVS Health, Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to verify.
