Provider Demographics
NPI:1972701035
Name:BENSALEM SENIOR HOUSING
Entity type:Organization
Organization Name:BENSALEM SENIOR HOUSING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-752-9140
Mailing Address - Street 1:6400 HULMEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1932
Mailing Address - Country:US
Mailing Address - Phone:215-752-9140
Mailing Address - Fax:215-752-8620
Practice Address - Street 1:6400 HULMEVILLE RD
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1932
Practice Address - Country:US
Practice Address - Phone:215-752-9140
Practice Address - Fax:215-752-8620
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENSALEM SENIOR HOUSING
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-10
Last Update Date:2009-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
PA127691310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PABF0980943OtherFILIPS
PA2098665001OtherDR DAVE
PAG47366OtherPECK
PAH38825Medicare UPIN
PA2098665001OtherDR DAVE