Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Evangelical Manor

Organization Skilled Nursing Facility · NPI 1043207152

Evangelical Manor is a Skilled Nursing Facility in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
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Practice location Address checks out

8401 Roosevelt Blvd
Philadelphia, PA 19152-2034
Phone: (215) 624-5800
Fax: (215) 335-1477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 311202 (PA)

Record details

NPI number1043207152
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronnie Conner — Corporate Director Of Rcm · (267) 885-6232
Other names Wesley Enhanced Living At Pennypack Park
NPI enumeratedOctober 4, 2005
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026
Mailing address8401 Roosevelt Blvd, Philadelphia, PA 19152-2034

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

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