2509 South Fourth Operating, LLC
NPI 1952719148ActiveOrganization· 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 | 1952719148 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 31, 2014 |
| Last updated in NPPES | Oct 15, 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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