10400 Roosevelt Operating, LLC
NPI 1659789949ActiveOrganization· Skilled Nursing Facility· Philadelphia, PA
Skilled Nursing Facility in Philadelphia, Pennsylvania, registered in NPPES in July 2014. The authorized official on file is Charles-Edouard Gros, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1659789949 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2014 |
| Last updated in NPPES | Jul 30, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (PA) |
|---|
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