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Evangelical Manor

Skilled Nursing Facility in Philadelphia, PA · enumerated 2005 · authorized official Ronnie Conner, Corporate Director of Rcm.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043207152

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Registry record

Entity type Organization (Type 2)
Legal business name Evangelical Manor
Practice address 8401 Roosevelt Blvd, Philadelphia, PA, 19152
Fax (215) 335-1477
Enumeration date Oct 4, 2005
Last updated in NPPES May 28, 2026

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 311202 (PA) Primary

Authorized official

Name Ronnie Conner
Title Corporate Director of Rcm

Other identifiers

Identifier Type State Issuer
0007449700001 Medicaid PA -
2123484 Other PA AETNA PROVIDER ID
0005920000 Other PA IBC PROVIDER ID

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Evangelical Manor located?
The practice location on file with NPPES is in Philadelphia, PA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-05-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-28.