ST. JOHN NEUMANN CENTER FOR REHABILITATION & HEALTHCARER
NPI 1659789949
Skilled Nursing Facility in Philadelphia, PA

Active since July 30, 2014CLIA 39D0199554 · Waiver
10400 ROOSEVELT BLVD, PHILADELPHIA, PA 19116(610) 698-5619 Get Directions Write a Review

NPPES record last updated: July 30, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About St. John Neumann Center For Rehabilitation & Healthcarer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JOHN NEUMANN CENTER FOR REHABILITATION & HEALTHCARER (NPI 1659789949) is a healthcare organization registered as a skilled nursing facility in Philadelphia, Pennsylvania and active in the NPI registry since July 2014. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Charles-edouard Gros, Manager, as its authorized official.

NPPES Registry Identity

NPI1659789949
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business Name10400 ROOSEVELT OPERATING, LLC
Location Address10400 ROOSEVELT BLVDPhiladelphia, PA 19116-3905
Mailing Address701 Lansdale AveLansdale, PA 19446-2958
Organization SubpartNo
Authorized OfficialCharles-edouard GrosManager · (718) 360-8083
Enumeration DateJuly 30, 2014
NPI 1659789949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(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.

10400 ROOSEVELT BLVD, Philadelphia, PA 19116

Other Names 1

Doing Business AsSt. John Neumann Center For Rehabilitation & Healthcarer

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0199554

St John Neumann Center For Rehabilitation · Philadelphia, PA
Active · expires Aug 31, 2026
CLIA Number39D0199554
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Larry W. Spector
Laboratory Phone(215) 698-5600
Laboratory LocationSt John Neumann Center For Rehabilitation10400 Roosevelt Boulevard, Philadelphia, PA 19116
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
10400 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Occupational Therapist
10400 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Physical Therapy Assistant
10400 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Skilled Nursing Facility
10400 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Physical Therapy Assistant
10400 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Speech-Language Pathologist
10400 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
10400 ROOSEVELT BLVD
PHILADELPHIA, PA 19116
Psychologist (Clinical)
10400 ROOSEVELT BLVD
PHILADELPHIA, PA 19116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 10400 Roosevelt Operating, LLC's NPI number?

The NPI number for 10400 Roosevelt Operating, LLC is 1659789949. It was assigned to this organization in the NPPES registry on July 30, 2014. The provider is doing business as St. John Neumann Center For Rehabilitation & Healthcarer.

Where is 10400 Roosevelt Operating, LLC located?

10400 Roosevelt Operating, LLC is located at 10400 Roosevelt Blvd, Philadelphia, PA 19116. The listed phone number is (610) 698-5619.

What is 10400 Roosevelt Operating, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does 10400 Roosevelt Operating, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0199554) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 10400 Roosevelt Operating, LLC was last updated on July 30, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.