Appendix - Highmark Blue Shield

Transcription

Section 14
Appendix
In this section
Facility identification numbers
Typical covered services
Medical-surgical contracts
Typical exclusions
Sample identification cards - Pennsylvania Blue Shield
Page
1
45
45
46
46
49
CustomBlue PPO
49
49
HealthStyle, Hershey Foods Corporation
49
Capital Blue Cross, Pennsylvania Blue Shield Point of Service
50
Traditional Blue Cross Blue Shield
50
51
Access Care II PPO
Sample identification cards - Highmark Blue Cross Blue Shield
CommunityBlue HMO
51
CommunityBlue POS
KeystoneBlue HMO
51
51
PreferredBlue PPO
52
SecurityBlue HMO
52
52
SelectBlue POS
Appendix
Section 14
Facility Identification Numbers
HOSPITALS AND SKILLED NURSING FACILITIES
ABINGTON MANOR
ALPHANUMERIC: AB395701
ALLEGHENY UNIVERSITY HOSPITALS CITY
AVENUE
ALPHANUMERIC: AL390245
100 Edella Road
Clarks Summit, PA 18411
City Avenue Hospital
4150 City Avenue
Phila, PA 19131
ABINGTON MEMORIAL HOSPITAL
ALPHANUMERIC: AB390231
ALLEGHENY UNIVERSITY HOSPITALS
GRADUATE
1200 York Road
Abington, PA 19001
ADAMS MANOR
ALPHANUMERIC: AD395273
Graduate Hospital
One Graduate Plaza
Phila, PA 19146
824 Adams Avenue
Scranton, PA 18510
ALLEGHENY VALLEY HOSPITAL
ALBERT EINSTEIN MEDICAL CENTER
1301 Carlisle Street
Natrona Heights, PA 15065
5501 Old York Road
Phila, PA 19141
ALLENTOWN STATE HOSPITAL
ALLEGHENY GENERAL HOSPITAL
1600 Hanover Street
Allentown, PA 18103
320 E North Avenue
Pittsburgh, PA 15212
ALLIED SER FOR HANDICAP
ALLEGHENY LUTH HM-JOHNSTOWN
475 Morgan Highway
Scranton, PA 18508
807 Goucher Street
Johnstown, PA 15905
ALLIED SERVICES LTC FACILITY
ALLEGHENY MANOR
303 Smallacombe Drive
Scranton, PA 18508
512 South Paint Boulevard
Shippenville, PA 16254
ALTOONA HOSPITAL
ALLEGHENY UNIVERSITY HOSPITAL BUCKS
620 Howard Avenue
Altoona, PA 16601
225 Newtown Road
Warminster, PA 18974
AMBLER REST CENTER NURSING HOME
ALPHANUMERIC: AM395176
ALLEGHENY UNIVERSITY HOSPITAL ELKINS
PARK
Bethlehem Park Butler Park
Ambler, PA 19002
60 E Township Line Road
Elkins Park, PA 19027
ANGELA JAMES PAVILLION
ALPHANUMERIC: AN328405
ALLEGHENY UNIVERSITY HOSPITAL
HAHNEMANN
8410 Roosevelt Boulevard
Philadelphia, PA 19152
ARBOR VIEW
ALPHANUMERIC: AR396031
230 N Broad Street
Phila, PA 19102
211 Willow Valley Square
Lancaster, PA 17602
ALLEGHENY UNIVERSITY HOSPITAL MCP
ARBUTUS PARK MANOR
3300 Henry Avenue
Phila, PA 19129
207 Ottawa Street
Johnstown, PA 15904
1
Appendix
Section 14
ARMSTRONG COUNTY HEALTH CENTER
ATTLEBORO NURSING REHAB CENTER
ALPHANUMERIC: AT395710
ARMSTRONG COUNTY MEMORIAL HOSPITAL
AUDUBON VILLA
ALPHANUMERIC: AU395590
ARMSTRONG COUNTY MEMORIAL HOSPITALSNF
AUH CANONSBURG SKILLED NURSING
FACILITY
ARTMAN LUTHERAN HOME
AUH PARKVIEW HOSPITAL
ASA PARK MANOR NURSING CENTER INC
ALPHANUMERIC: AS395092
AUH ST CHRISTOPHERS HOSPITAL CHLDRN
ASBURY HEALTH CENTER
AUTUMN GROVE CARE CENTER
ASHLAND REGIONAL LONG TERM CARE
CENTER
BALA NURSING RETIREMENT CENTER
ALPHANUMERIC: BA395812
265 S McKean Street
Kittanning, PA 16201
300 E Winchester Avenue
Langhorne, PA 19047
One Nolte Drive
125 S Broad Street
Lititz, PA 17543
One Nolte Drive
100 Medical Boulevard
Canonsburg, PA 15317
250 Bethlehem Pike
Ambler, PA 19002
1331 East Wyoming Avenue
Phila, PA 19124
Park St
Montrose, PA 18801
Erie Avenue At Front Street
Phila, PA 19134
700 Bower Hill Road
Main Street
Harrisville, PA 16038
4001 Ford Road
Phila, PA 19131
101 Broad Street
Ashland, PA 17921
BALANCE CARE BLOOMSBURG
ASHLAND REGIONAL MEDICAL CENTER
3298 Ridge Road
Bloomsburg, PA 17815
101 Broad Street
Ashland, PA 17921
BALDOCK HEALTH CARE CENTRE
ASHTON HALL NRSG REHAB CENTER
8850 Barnes Lake Road
North Huntingdon, PA 15642
2109 Red Lion Road
Phila, PA 19115
BALDWIN HEALTH CENTER INC
ASSOCIATES RETARDED CITIZENS BUCK
COUNTY
1717 Skyline Drive
133 Harvey Avenue
Doylestown, PA 18901
BALL PAVILION INC
ATLAS DEVELOPMENT ASSOCIATES INC
5416 East Lake Road
Erie, PA 16511
Mount Carmel Nursing Center
700 W Third Street
Mt Carmel, PA 17851
BAPTIST HOME-PHILA
Phila, PA 19152
ATRIUM I
5180 Campbells Run Road
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Appendix
Section 14
BAPTIST HOMES NSRG CENTER
BERKS COUNTY HOME BERKS HEIM
ALPHANUMERIC: BE395094
BARBARA J EGAN REHAB CENTER
BERKSHIRE MANOR NURSING AND REHAB
CENTER
489 Castle Shannon Boulevard
Prison Road RD 1
Leesport, PA 19533
200 Luther Road
Shrewsbury, PA 17361
5501 Perkiomen Avenue
Reading, PA 19606
BARCLAY FRIENDS
BERWICK HOSPITAL
700 N Franklin Street
West Chester, PA 19380
701 E 16th Street
Berwick, PA 18603
BARNES-KASSON CO SKILLED NURSING
FACILITY
BERWICK RETIREMENT VILLAGE NURSING
HM
400 Turnpike Street
Susquehanna, PA 18847
801 E 16th Street
Berwick, PA 18603
BARNES-KASSON COUNTY HOSPITAL
BETAK
400 Turnpike Street
Susquehanna, PA 18847
7141 McCqllum Street
Phila, PA 19119
BEACON MANOR
BETHANY VILLAGE RETIREMENT CENTER
1515 Wayne Avenue
Indiana, PA 15701
325 Wesley Drive
Mechanicsburg, PA 17055
BEACON MANOR INC
BETHLEN HOME OF THE HUNGARIAN
1515 Wayne Avenue
Indiana, PA 15701
125 Kalassay Drive
Ligonier, PA 15658
BEAUMONT AT BRYN MAWR
BEVERLY HEALTHCARE - CAMBRIDGE
SPRINGS
601 N Ithan Avenue
Bryn Mawr, PA 19010
BEAVER VALLEY GERIATRIC CENTER
110 Canfield Street
Cambridge Springs, PA 16403
BELLE HAVEN INC
2686 Peach Street
Erie, PA 16508
BELMONT CENTER
14714 Park Avenue Extension
Meadville, PA 16335
BELVEDERE REHAB AND LIVING CENTER
350 Old Gilkenson Road
BEVERLY HEALTHCARE - ERIE
246 Friendship Circle
Beaver, PA 15009
BEVERLY HEALTHCARE - MEADVILLE
1320 Mill Road
Quakertown, PA 18951
BEVERLY HEALTHCARE - MOUNT LEBANON
4200 Monument Road
Phila, PA 19131
BEVERLY HEALTHCARE - MURRYSVILLE
2507 Chestnut Street
Chester, PA 19013
3300 Logan Ferry Road
Murrysville, PA 15668
3
Appendix
Section 14
BEVERLY HEALTHCARE - OAKMONT
BEVERLY HEALTHCARE WAYNESBURG
BEVERLY HEALTHCARE - RICHLAND
BEVERLY HEALTHCARE-CLARION
BEVERLY HEALTHCARE - TITUSVILLE
BEVERLY HEALTHCARE-MOUNTAINVIEW
BEVERLY HEALTHCARE - WESTERN RESERVE
BEVERLY MANOR OF LANCASTER
BEVERLY HEALTHCARE GETTYSBURG
BEVERLY MANOR OF READING
BEVERLY HEALTHCARE HILLVIEW
BIRCHWOOD NURSING AND REHAB CENTER
ALPHANUMERIC: BI395651
BEVERLY HEALTHCARE KINZUA VALLEY
BISHOP NURSING HOME
26 Ann Street
Oakmont, PA 15139
Rd2 300 Center Avenue
Waynesburg, PA 15370
349 Vo-Tech Drive
Johnstown, PA 15904
999 Heidrick Street
Clarion, PA 16214
81 Dillion Drive
Titusville, PA 16354
Po Box 138
Hillsdale, PA 15746
1521 W 54th Street
Erie, PA 16509
425 North Duke Street
Lancaster, PA 17602
741 Chambersburg Road
Gettysburg, PA 17325
21 Fairlane Road
Mt Penn, PA 19606
700 S Cayuga Avenue
Altoona, PA 16602
395 E Middle Road
Nanticoke, PA 18634
205 Water Street
Warren, PA 16365
318 South Orange Street
Media, PA 19063
BISHOP NURSING HOME
BEVERLY HEALTHCARE MEYERSDALE
318 S Orange Street
Media, PA 19063
201 Hospital Drive
Meyersdale, PA 15552
BLAIR NURSING HOME INC
ALPHANUMERIC: BL305716
BEVERLY HEALTHCARE MONROEVILLE
RR 2 Mercer Road
Beaver Falls, PA 15010
4142 Monroeville Boulevard
Monroeville, PA 15146
BLAKELY PINE HEALTH CARE CENTER
BEVERLY HEALTHCARE OIL CITY
1554 Sanderson Avenue
Scranton, PA 18509
1293 Grandview Road
Oil City, PA 16301
BLAKELY PINE HEALTH CARE CENTER
BEVERLY HEALTHCARE SOUTH HILLS
Sturges Rd
Peckville, PA 18452
201 Village Drive
BLOOMSBURG HEALTH CARE CENTER
BEVERLY HEALTHCARE UNIONTOWN
211 E First Street
129 Franklin Avenue
Uniontown, PA 15401
BLOOMSBURG HOSPITAL
549 Fair Street
4
Appendix
Section 14
BLOUGH NURSING HOME
BRETHREN HOME NEW OXFORD
ALPHANUMERIC: BR395108
BLUE RIDGE HAVEN EAST
BRETHREN VILLAGE
BMH TRANSITIONAL CARE CENTER
ALPHANUMERIC: BM322776
BRIARLEAF NSG CONV CENTER
BON SECOURS HOLY FAMILY REG HEALTH
SYSTEM
ALPHANUMERIC: BO390121
BRINTON MANOR
316 E Market Street
Bethlehem, PA 18018
Rts 30 and 94 RD 3
New Oxford, PA 17350
3625 N Progress Avenue
Harrisburg, PA 17110
3001 Lititz Pike
Lancaster, PA 17601
130 S Bryn Mawr
Bryn Mawr, PA 19010
252 Belmont Avenue
549 Baltimore Pike
Concordville, PA 19331
2500 Seventh Avenue
Altoona, PA 16603
BRITTANY POINTE ESTATES
BONHAM NURSING CENTER
1001 Valley Forge Road
Lansdale, PA 19446
R R 1 Box 64
Stillwater, PA 17878
BROAD ACRES NURSING HOME
BOULEVARD NURSING HOME
RR 3
Wellsboro, PA 16901
Phila, PA 19152
BROAD MOUNTAIN MANOR
BRADFORD CO MANOR
500 W Laurel Street
Frackville, PA 17931
RR 3 Box 322
Troy, PA 16947
BROOKLINE MANOR CONV REST HOME
BRADFORD MANOR
RR 1 Box 463
Mifflintown, PA 17059
50 Langmaid Lane
Bradford, PA 16701
BROOKMONT HEALTH CARE CENTER
BRADFORD NURSING PAVILION
Brookmont Dr
Effort, PA 18330
200 Pleasant Street
Bradford, PA 16701
BROOKVILLE HOSPITAL
BRADFORD REGIONAL MEDICAL CENTER
100 Hospital Road
Brookville, PA 15825
116-156 Interstate Parkway
Bradford, PA 16701
BROOMALL PRESBYTERIAN HOME
BRANDYWINE HALL
146 Marple Road
Broomall, PA 19008
800 W Miner Street
W Chester, PA 19382
BROWNSVILLE GENERAL HOSPITAL
BRANDYWINE HOSPITAL
125 Simpson Road
Brownsville, PA 15417
201 Reeceville Road
Coatesville, PA 19320
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Appendix
Section 14
BROWNSVILLE GENERAL HOSPITAL - SKILLED
NURSING F
CALVARY FELLOWSHIP HOME INC
ALPHANUMERIC: CA395349
502 Elizabeth Drive
Lancaster, PA 17601
125 Simpson Road
Brownsville, PA 15417
CAMBRIDGE GROUP OF PENNSYLVANIA
BRYN MAWR REHABILITATION HOSPITAL
Ruhehaus Lane
Hershey, PA 17033
414 Paoli Pike
Malvern, PA 19355
CAMP HILL NURSING CONV CENTER INC
BRYN MAWR TERRACE CONVALESCENT
CENTER
46 Erford Road
Camp Hill, PA 17011
Haverford Avenue Rugby Road
Bryn Mawr, PA 19010
CANONSBURG HOSPITAL
BUCHANAN COMMONS GENESIS ELDERCARE
ALPHANUMERIC: BU395593
100 Medical Boulevard
400 Hillcrest Avenue
Grove City, PA 16127
CANTERBURY PLACE
BUCKINGHAM VALLEY NRSNG CENTER INC
310 Fisk Street
820 Route 413
Buckingham, PA 18912
CARBON COUNTY HOME AGED
BUCKTAIL MEDICAL CENTER
1000 Evergreen Avenue
Weatherly, PA 18255
1001 Pine Street
Renovo, PA 17764
CARBONDALE NURSING HOME INC
BUCKTAIL MEDICAL CENTER SKILLED
NURSING FACILITY
10 Hart Place
Carbondale, PA 18407
CARE CENTER OF MARTINS RUN
1001 Pine Street
Renovo, PA 17764
Martins Run Halcyo Drive
Media, PA 19063
BUFFALO VALLEY NURSING HM
CARE PAVILION OF WALNUT PARK
Fairground Rd
Lewisburg, PA 17837
6212 Walnut Street
Phila, PA 19139
BUTLER MEMORIAL HOSPITAL
CARLETON SENIOR CARE AND REHAB CENTER
911 East Brady Street Extension
Butler, PA 16001
10 West Avenue
Wellsboro, PA 16901
BUTLER VALLEY MANOR
CARLISLE HOSPITAL
RR 1 Box 1355
Drums, PA 18222
246 Parker Street
Carlisle, PA 17013
C K CENTER
ALPHANUMERIC: C304706
CARON REHABILITATION HOSPITAL
Sproul Rd
Springfield, PA 19064
Galen Hall Road
Wernersville, PA 19565
CALEDONIA MANOR
3301 Lincoln Way East
Fayetteville, PA 17222
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Appendix
Section 14
CARPENTER CARE CENTER
CHAPEL POINTE AT CARLISLE
ALPHANUMERIC: CH305584
CATHEDRAL VILLAGE
CHAR MUND NURSING HOME
CEDAR HAVEN LEBANON COUNTY HOME
ALPHANUMERIC: CE395093
CHARLES COLE MEMORIAL HOSPITAL
CEDARBROOK
CHARLES COLE MEMORIAL HOSPITAL SKILLED NURSING
RR 7 Box 12
Tunkhannock, PA 18657
770 S Hanover Street
Carlisle, PA 17013
600 E Cathedral Road
Phila, PA 19128
RR 2 Box 72
Orangeville, PA 17859
590 S Fifth Avenue
Lebanon, PA 17042
RR 01 Box 205
Coudersport, PA 16915
350 S Cedarbrook Road
Allentown, PA 18104
1001 East Second Street
CEDARS OF MONROEVILLE
CHARTER FAIRMOUNT INSTITUTE
4363 Northern Pike
561 Fairthorne Street
Phila, PA 19128
CENTENIAL SPRING HLT CARE CRT
CHELTENHAM NURSING AND REHAB
333 Newtown Road
600 W Cheltenham Avenue
Phila, PA 19126
CENTRAL PARK LODGES INC
CHELTENHAM YORK ROAD NURSING REHAB
CENTER
43 N Malin Road
Broomall, PA 19008
CENTRE COMMUNITY HOSPITAL
7107 Old York Road
Phila, PA 19126
CENTRE CREST
15 St Shaw Terrace
Chester, PA 19013
CHAMBERSBURG
701 E Marshall Street
W Chester, PA 19380
CHANDLER HALL
8835 Germantown Avenue
Phila, PA 19118
CHESTER CARE CENTER
Po Box 1259
State College, PA 16804
CHESTER CO HOSPITAL
502 E Howard Street
Bellefonte, PA 16823
CHESTNUT HILL HOSPITAL
Seventh and King
Chambersburg, PA 17201
CHESTNUT HILL REHAB HOSPITAL
99 Barclay Street
Newtown, PA 18940
8601 Stenton Avenue
CHAPEL MANOR NURSINGAND REHAB CENTER Wyndmoor, PA 19038
1104 Welsh Road
CHESTNUT HILL REHAB HOSPITAL SKILLED
Phila, PA 19115
NURSING FAC
8601 Stenton Avenue
Glenside, PA 19038
7
Appendix
Section 14
CHESTNUT HILL SPRINGFIELD CENTER
CLARA BURKE NURSING HOME
ALPHANUMERIC: CL395005
CHICORA MEDICAL CENTER INC
CLARION HOSPITAL
CHILDRENS HOSPITAL OF PHILA
CLARION PSYCHIATRIC CENTER
8601 Stenton Avenue
Phila, PA 19118
251 Stenton Avenue
Plymouth Meeting, PA 19462
Box Q
Chicora, PA 16025
One Hospital Drive
Clarion, PA 16214
34th and Civic Center Boulevard
Phila, PA 19104
RD 3 Box 188
Two Hospital Drive
Clarion, PA 16214
CHILDRENS HOSPITAL OF PITTSBURGH
CLARKS SMMT STREET HOSPITAL
One Childrens Place
1451 Hillside Drive
CHILDRENS REHAB HOSPITAL
CLARKS SUMMIT STATE HOSPITAL LTC
3955 Conshohocken Avenue
Phila, PA 19131
1451 Hillside Drive Building 6
CHILDRENS SEASHORE HOUSE
CLARVIEW NURSING REHAB CENTER
34th Civic Center Boulevard
Phila, PA 19104
Rd1 P O Box 195
Sligo, PA 16255
CHRIST HOME RETIRE CENTER
CLEARFIELD HOSPITAL
1220 W Street Road
809 Turnpike Avenue
Clearfield, PA 16830
CHRIST THE KING MANOR
CLEPPER CONV HOME
1100 West Long Avenue
Du Bois, PA 15801
941 959 E State Street
Sharon, PA 16146
CHURCH LANE HEALTH CARE CENTER
CLIVEDEN CONVALESCENT CENTER
43 Church Lane
Broomall, PA 19008
6400 Greene Street
Phila, PA 19119
CHURCH OF BRETHREN HOME
COBBS CREEK NURSING CENTER
ALPHANUMERIC: CO395222
277 Hoffman Avenue
Windber, PA 15963
6900 Cobbs Creek Parkway
Phila, PA 19142
CHURCH OF GOD HOME INC
COLLINS HEALTH CENTER
801 N Hanover Street
Carlisle, PA 17013
5511 Baum Boulevard
CITIZENS GENERAL HOSPITAL
ALPHANUMERIC: CI390018
COLONIAL MANOR NURSING HOME
651 Fourth Avenue
New Kensington, PA 15068
970 Colonial Avenue
York, PA 17403
8
Appendix
Section 14
COMMUNITY GENERAL OSTEOPATHIC
HOSPITAL
COUNTRY MEADOWS NURSING CENTER
4025 Green Pond Road
Bethlehem, PA 18020
857 S Arlington Avenue
COMMUNITY HOSPITAL OF LANCASTER
COUNTRY MEADOWS SKILLED NURSING
FACILITY
COMMUNITY MEDICAL CENTER
COURTLAND CENTER FOR CONTINUING CARE
1100 East Orange Street
Lancaster, PA 17602
3590 Washington Pike
Bridgeville, PA 15017
1800 Mulberry Street
Scranton, PA 18510
Presbyterian Medical Center
39th and Market Sts
Phila, PA 19104
CONCORDIA LUTHERAN MINISTRIES
CRESTVIEW NORTH NSG REHAB FACILITY
ALPHANUMERIC: CR395459
615 N Pike Road
Cabot, PA 16023
262 Tollgate Road
Langhorne, PA 19047
CONEMAUGH MEMORIAL MEDICAL CENTER
CRESTVILLE CONV HOME
1086 Franklin Street
Johnstown, PA 15905
1245 Church Road
Wyncote, PA 19095
CONEMAUGH VALLEY MEMORIAL HOSPITAL
TCU
CROSSLANDS SKILLED NURSING FACILITY
Johnstown, PA 15905
Rte 926
Kennett Square, PA 19348
CONESTOGA VIEW
CROZER CHESTER MEDICAL CENTER
900 E King Street
Lancaster, PA 17602
1 Medical Center Boulevard
Upland, PA 19013
CONTINUING CARE CENTER
CUMBERLAND COUNTY NSG HM
ALPHANUMERIC: CU395660
Sixth Avenue and Spruce Street
West Reading, PA 19611
375 Claremont Drive
Carlisle, PA 17013
COOPER RIVER CONV CENTER EAST
CUMBERLAND CROSSINGS
ALPHANUMERIC: CU395827
One Longsdorf Way
Carlisle, PA 17013
Geriatric Medical Serv
Phila, PA 19139
DANVILLE STATE HOSPITAL
ALPHANUMERIC: DA394004
CORNWALL MANOR UNITED METH CHURCH
Off Route 11
Danville, PA 17821
Boyd St
Cornwall, PA 17016
DANVILLE STATE HOSPITAL LTC
CORRY MANOR
Off Route 11
Danville, PA 17821
640 Worth Street
Corry, PA 16407
DAUPHIN MANOR
CORRY MEMORIAL HOSPITAL
1205 S 28th Street
612 West Smith Street
Corry, PA 16407
9
Appendix
Section 14
DAVIS NURSING HOME INC
DOYLESTOWN MANOR
ALPHANUMERIC: DO300592
DELAWARE COUNTY MEMORIAL HOSPITAL
ALPHANUMERIC: DE390081
DRESHER HILL HEALTH AND REHAB CENTER
ALPHANUMERIC: DR395509
DELAWARE VALLEY MEDICAL CENTER
DUBOIS NURSING HOME ASSC
ALPHANUMERIC: DU395430
DELAWARE VALLEY MENTAL HEALTH FDTN
DUBOIS REGIONAL MEDICAL CENTER
DENVER NURSING HOME
DUNWOODY HOME MEDICAL CENTER
185 S Mountain Boulevard
Mountain Top, PA 18707
501 N Lansdowne Avenue
Drexel Hill, PA 19026
200 Oxford Valley Road
Langhorne, PA 19047
833 Butler Avenue
400 Lancaster Avenue
Stevens, PA 17578
Maple Avenue At East Street
1390 Camp Hill Road
Dresher, PA 19025
Po Box 307
Du Bois, PA 15801
Hospital Avenue
Du Bois, PA 15801
3500 W Chester Pike
Newtown Square, PA 19073
DEPARTMENT OF VETERANS AFFAIR MEDICAL EAGLEVILLE HOSPITAL REHAB
CENTER
ALPHANUMERIC: EA394028
100 Eagleville Road
1400 Black Horse Hill
DIALYSIS CLINIC INC-GROVE CITY
ALPHANUMERIC: DI322642
Eagleville, PA 19408
EAST MOUNTAIN MANOR
631 North Broad Street Extension
Plains Township
101 E Mountain Drive
Wilkes Barre, PA 18702
DIVINE PROV HOSPITAL WILLIAMSPORT
EASTERN STATE SCHOOL AND HOSPITAL
1100 Grampian Boulevard
Williamsport, PA 17701
3740 Lincoln Highway
Trevose, PA 19047
DIVINE PROV SKILLED NURSING FACILITY
EASTON HOSPITAL
1100 Grampian Boulevard
250 South 21st Street
Easton, PA 18042
DOCK TERRACE
EASTWOOD NURSING AND REHAB CENTER
275 Dock Drive
Lansdale, PA 19446
2125 Fairview Avenue
Easton, PA 18042
DONAHUE MANOR
EDGEHILL NURSING AND REHAB CENTER
ALPHANUMERIC: ED305604
136 Donahoe Manor
Bedford, PA 15522
146 Edge Hill Road
Glenside, PA 19038
DOYLESTOWN HOSPITAL
EDGEWATER PSYCHIATRIC CENTER
595 W State Street
1829 N Front Street
10
Appendix
Section 14
EDINBORO MANOR
EPHRATA MANOR
ALPHANUMERIC: EP395225
ELIZA CATHCART HUTCHINSON HOUSE
ALPHANUMERIC: EL395040
EPHRATA NSG HOME
ELK HAVEN NURSING HOME
EPISCOPAL HOSPITAL
ELK REGIONAL HEALTH CENTER
EPPI TENET HEALTHCARE
ELLEN MEMORIAL HEALTH CARE CENTER
EPWORTH MANOR
ELLWOOD CITY HOSPITAL
EUGENIA MEMORIAL HOSPITAL
ALPHANUMERIC: EU394031
ELM TERRACE GARDENS
EVANGELICAL COMMUNITY HOSPITAL
ALPHANUMERIC: EV390013
ELMIRA JEFFERIES MEMORIAL HOME
EVANGELICAL CONG RET VL
ELMIRA JEFFRIES MEMORIAL HOME
EVANGELICAL MANOR
ELWYN INSTITUTES NEVIL HM
EVERGREEN CONVALESCENT HOME
EMBREEVILLE STATE H
ALPHANUMERIC: EM394022
EVERGREEN TERRACE
EPHRATA COMMUNITY HOSPITAL
EXTENDICARE HEALTH NETWK AT BEAVER
VALLEY
ALPHANUMERIC: EX395266
419 Waterford Street
Edinboro, PA 16412
445 North Valley Forge Road
Devon, PA 19333
785 Johnsonburg Road
St Marys, PA 15857
St Marys, PA 15857
RR 1 Box 1735
Honesdale, PA 18431
724 Pershing Street
Ellwood City, PA 16117
660 North Broad Street
Lansdale, PA 19446
1500 N 15th Street
Phila, PA 19121
1500 14 N 15th Street
Phila, PA 19121
111 Elwyn Road
Elwyn, PA 19063
Woodview Building
Embreeville, PA 19320
169 Martin Avenue
Ephrata, PA 17522
99 Bethany Road
Ephrata, PA 17522
25 W Locust Street
Ephrata, PA 17522
Front St Lehigh Avenue
Phila, PA 19125
3300 Henry Avenue
Phila, PA 19129
951 Washington Avenue
Tyrone, PA 16686
660 Thomas Road
Lafayette Hill, PA 19444
One Hospital Drive
Lewisburg, PA 17837
7 W Park Avenue
Myerstown, PA 17067
Phila, PA 19152
Mill Rd
Harmony, PA 16037
777 Ferry Road
257 Georgetown Road
11
Appendix
Section 14
EXTENDICARE HEALTH NETWK AT BELAIR
REHAB
100 Little Road
Lower Burrell, PA 15068
EXTENDICARE HEALTH NETWK AT
EDGEWOOD
P O Box 277
E Main Street
Youngstown, PA 15696
ELDERCREST
2600 West Run Road
Munhall, PA 15120
HAVENCREST
FAIRMOUNT REST HOME
ALPHANUMERIC: FA305609
RR 4
Ephrata, PA 17522
FAIRVIEW MANOR
900 Manchester Road
Fairview, PA 16415
FAIRVIEW NRSNG HM OF BETH PARK
184 Bethlehem Pike
Phila, PA 19118
FAIRVIEW NSG CENTER OF PAPERMILL ROAD
850 Papermill Road
Phila, PA 19118
FAIRWAYS AT BROOKLINE
1277 Country Club Road
Monongahela, PA 15063
1950 Cliffside Drive
MEADOWCREST
FELLOWSHIP MANOR
ALPHANUMERIC: FE395763
1200 Braun Road
Bethel Park, PA 15102
3000 Fellowship Drive
Whitehall, PA 18052
FIRST HOSPITAL WYOMING VALLEY
EXTENDICARE HEALTH NETWK AT MOUNTAIN ALPHANUMERIC: FI394039
149 Dana Street
LAUREL
700 Leonard Street
FITZGERALD MERCEY HOSPITAL
Clearfield, PA 16830
ALPHANUMERIC: FI395802
EXTENDICARE HEALTH NETWK AT OAK HILL Skilled Nursing Facility 4MSB
Lansdowne Avenue Baily Road
Darby, PA 19023
RD 7 Box 77A
Greensburg, PA 15601
EXTENDICARE HEALTH NTWK AT ABINGTON
CREST
1267 South Hills Road
Erie, PA 16509
FAIR ACRES GERIATRIC CENTER
340 N Middletown Road
Media, PA 19063
FORBES REGIONAL HOSPITAL
ALPHANUMERIC: FO390267
2570 Haymaker Road
FORBES REGIONAL HOSPITAL NURSING
CENTER
6655 Frankstown Avenue
FAIR WINDS MANOR INC
FORBES REGIONAL HOSPITAL SKILLED NURSG
UNIT
126 Iron Bridge Road
Sarver, PA 16055
2570 Haymaker Road
FAIRMOUNT GERIATRIC CENTER
FOREST CITY NURSING CENTER
15th Chestnut 12
Phila, PA 19102
915 Delaware Street
Forest City, PA 18421
12
Appendix
Section 14
FOREST PARK HEALTH CETNER
700 Walnut Bottom
Carlisle, PA 17013
FRICK HOSPITAL
ALPHANUMERIC: FR390217
508 South Church Street
Mt Pleasant, PA 15666
FORESTVIEW SKILLED HEALTH CARE CENTER FRICK HOSPITAL AND COMMUNITY SKILLED
NURSING FAC
2301 Edinboro Road
Erie, PA 16509
FOULKEWAYS AT GWYNEDD
1120 Meetinghouse Road
Gwynedd, PA 19436
FOX CHASE CANCER CENTER
7701 Burholme Avenue
FOX SUBACUTE CENTER
2644 Bristol Road
Warrington, PA 18976
FOXDALE VILLAGE
500 E Marylyn Avenue
FRANKFORD HOSPITAL
Knights Red Lion Roads
Phila, PA 19114
FRANKFORD HOSPITAL BUCKS COUNTY TCU
380 North Oxford Valley Road
Langhorne, PA 19047
FRANKLIN COUNTY NSG HOME
Franklin Farm Lane
508 S Church Street
Mt Pleasant, PA 15666
FRIENDLY NURSING HOME-PITMAN
RR 1 Box 118
Pitman, PA 17964
FRIENDS HALL AT FOX CHASE
Hartell and Hasbrook Aves
Phila, PA 19111
FRIENDS HOSPITAL
Phila, PA 19124
FRIENDSHIP VILLAGE-SOUTH HILLS
1290 Boyce Road
FT WASHINGTON ESTATES
ALPHANUMERIC: FT395496
Ft Washington Susquehanna Road
Ft Washington, PA 19034
FULTON CNTY MEDICAL CNTR
ALPHANUMERIC: FU390209
216 S First Street
Mc Connellsburg, PA 17233
FULTON CO MEDICAL CENTER SKILLED
NURSING FACILIT
ALPHANUMERIC: FU395387
FRANKLIN MATERNITY
216 S First Street
Mc Connellsburg, PA 17233
FREDERICK MENNONITE HOME
128 Logan Boulevard
Hollidaysburg, PA 16648
FREY VILLAGE
100 N Academy Avenue
Danville, PA 17822
6051 Overbrook Avenue
Phila, PA 19131
Rte 73
Frederick, PA 19435
1020 North Union Street
Middletown, PA 17057
GARVEY MANOR
ALPHANUMERIC: GA395050
GEISINGER MEDICAL
ALPHANUMERIC: GE390006
GEISINGER WYOM VALLEY MEDICAL CENTER
1000 E Mountain Drive
13
Appendix
Section 14
GEORGE HARRISON HOME
Episcopal Hospital Ecf
Front St Lehigh Avenue
Phila, PA 19125
GERIATRIC SKILLED CARE UNIT
3401 N Broad Street 3 East
Phila, PA 19140
GERMANTOWN HOME
Phila, PA 19119
GERMANTOWN HOSPITAL AND COMMUNITY
HEALTH
One Penn Boulevard
Phila, PA 19144
GETTYSBURG HOSPITAL
147 Gettys Street
GETTYSBURG LUTHERAN HOME
1075 Old Harrisburg Road
GETTYSBURG VILLAGE GREEN NSG CENTER
867 York Road
GNADEN HUETTEN CONV CENTER
ALPHANUMERIC: GN395276
211 N 12th Street
Lehighton, PA 18235
GNADEN HUETTEN MEMORIAL HOSPITAL
ALPHANUMERIC: GN390194
211 North 12th Street
Lehighton, PA 18235
GOLDEN HILL NURSING HOME
ALPHANUMERIC: GO395003
520 Friendship Street
New Castle, PA 16101
GOLDEN SLIPPER CLUB UPTOWN HM
7800 Bustleton Avenue
Phila, PA 19152
GOLFVIEW MANOR NRSG HOME
616 Golfcourse Road
Aliquippa, PA 15001
GOOD SAMARITAN HOSPITAL
4 Th Walnut Sts
Lebanon, PA 17042
GOOD SAMARITAN MEDICAL CENTER
Johnstown, PA 15905
GOOD SAMARITAN NRSG CARE CENTER
Johnstown, PA 15905
GOOD SAMARITAN REGIONAL MEDICAL
CENTER
700 E Norweigian Street
Pottsville, PA 17901
GOOD SHEPHERD HOME
601 St John Street
Allentown, PA 18103
GOOD SHEPHERD REHAB HOSPITAL
Fifth and Street John Street
Allentown, PA 18103
GRACEDALE-COUNTY OF NORTHAMPTON
ALPHANUMERIC: GR395476
Gracedale Avenue
Nazareth, PA 18064
GRAND VIEW HOSPITAL
700 Lawn Avenue
Sellersville, PA 18960
GRAND VIEW HOSPITAL SKILLED NURSING
700 Lawn Avenue
GRANDVIEW HEALTH HOMES INC
Woodbine Lane
Danville, PA 17821
GRANITE FARMS ESTATES MEDICAL FACILITY
1343 W Baltimore Pike
Wawa, PA 19063
GREATER PITTSBURGH REHAB HOSPITAL
2380 McGinley Road
14
Appendix
Section 14
GREEN ACRES ADAMS COUNTY HOME
H A I D A MANOR
ALPHANUMERIC: H395592
GREEN ACRES REHAB NURSING CENTER
HAMILTON ARMS NURSING REHAB CENTER
ALPHANUMERIC: HA395224
GREEN HOME
HAMOT MEDICAL CENTER
GREEN RIDGE NURSING HOME INC
HAMPTON HOUSE NURSING HOME
GREENBRIAR EAST
HANOVER GENERAL HOSPITAL
GREENE COUNTY MEMORIAL HOSPITAL
HANOVER HALL
GREENE COUNTY MEMORIAL HOSP-SNF
HARLEE MANOR NURSING HOME
GREENLEAF NSG CONV CENTER
HARMON HOUSE CARE CENTER
GREENSBURG NRSG AND CONV CENTER
HARRISBURG HOSPITAL
595 Biglerville Road
1401 Ivy Hill Road
Wyndmoor, PA 19118
37 Central Avenue
Wellsboro, PA 16901
1530 Sanderson Avenue
Scranton, PA 18509
2500 Boulevard of The Generals
Norristown, PA 19403
Bonar Avenue
350 Bonar Avenue
400 S Main Street
Donahoe and Luxor Road
Po Box 956
GROVE MANOR
435 North Broad Street
GUY MARY FELT MANOR
ALPHANUMERIC: GU395356
110 East Fourth Street
Emporium, PA 15834
GWYNEDD SQUARE CENTER NIRS CONV CARE
ALPHANUMERIC: GW395479
733 Sumneytown Pike
Lansdale, PA 19446
Third Avenue Extension
Glenhope, PA 16645
336 Southwest End Avenue
Lancaster, PA 17603
201 State Street
Erie, PA 16550
1548 San Souci Parkway
300 Highland Avenue
Hanover, PA 17331
267 Frederick Street
Hanover, PA 17331
463 W Sproul Road
Springfield, PA 19064
601 South Church Street
Mount Pleasant, PA 15666
South Front Street
HARRISBURG STATE HOSPITAL
Cameron Maclay Sts
HARRISON HEALTH CHRISTIANA
41 Newport Avenue
Christiana, PA 17509
HARRISON HOUSE INC
41 Newport Pike
Christiana, PA 17509
15
Appendix
Section 14
HARSTON HALL
HEALTHSOUTH OF GREAT LAKES INC
ALPHANUMERIC: HE393041
HARSTON HALL NURSING CONV HOME INC
HEALTHSOUTH OF NITTANY VALLEY INC
HASKINS NURSING HOME
HEALTHSOUTH READING REHAB HOSPITAL
HAVEN CONVALESCENT HOME INC
HEALTHSOUTH REHAB HOSPITAL OF
ALTOONA
350 Haws Lane
Flourtown, PA 19031
350 Haws Lane
Erdenheim, PA 19118
1009 Rhodes Avenue
Secane, PA 19018
725 Paul Street
HAVERFORD NSG REHAB CENTER
2050 Old W Chester Park
Havertown, PA 19083
HAZLETON GENERAL HOSPITAL
E Broad Street
Hazleton, PA 18201
HAZLETON NUR GERIATRIC CENTER
1000 W 27th Street
Hazleton, PA 18201
HAZLETON ST JOSEPH MEDICAL CENTER
687 N Church Street
Hazleton, PA 18201
HCR MANORCARE
ALPHANUMERIC: HC305337
505 Weyman Road
HEALTH CARE CENTER WHITEHORSE
VILLAGE
535 Gradyville Road
Newtown Square, PA 19073
HEALTHSOUTH HARMARVILLE REHAB
HOSPITAL
Guys Run Road
Po Box 11460
HEALTHSOUTH LAKE ERIE INSTITUTE OF
REHAB
143 E Second Street
Erie, PA 16507
550 W College Avenue
Pleasant Gap, PA 16823
1623 Morgantown Road
Reading, PA 19607
2005 Valley View Boulevard
Altoona, PA 16602
HEALTHSOUTH REHAB OF MECHANICSBURG
175 Lancaster Boulevard
HEALTHSOUTH REHAB OF SEWICKLEY
303 Camp Meeting Road
Sewickley, PA 15143
HEALTHSOUTH REHAB RENOVA CENTER
4950 Wilson Lane
HEALTHSOUTH-RENOVA CENTER
4950 Wilson Lane
HEARTLAND HEALTH CARE CENTER OF
PITTSBURGH
550 South Negley Avenue
HEATHERBANK
745 Chiques Hill Road
Columbia, PA 17512
HEIGHTS NURSING HOME AT LOCUST MOUNT
200 Pennsylvania Avenue
Shenandoah, PA 17976
HERITAGE HOUSE
80 E Northampton Street
137 W Second Street
Erie, PA 16507
16
Appendix
Section 14
HERITAGE NURSING HOME INC
HIRAM G ANDREWS CENTER
ALPHANUMERIC: HI395532
HERITAGE TOWERS RETIREMENT CENTER
HOLIDAY MANOR NURSING HOME
ALPHANUMERIC: HO395816
HEWITT MANOR
HOLLIDAYSBURG VETERANS HM
202 S Main Street
Athens, PA 18810
200 Veterans Lane
59 Honeoye Street
Shinglehouse, PA 16748
HICKORY HOUSE NURSING HOME
3120 Horseshoe Pike
Honey Brook, PA 19344
HIGHLAND CENTER-GENESIS ELDERCARE
NETWO
1050 Broadview Boulevard
Brackenridge, PA 15014
HIGHLAND HALL CARE CENTER
239 West Pittsburg Road
HIGHLAND MANOR NURSING HOME
750 Schooley Avenue
Exeter, PA 18643
HIGHLAND VIEW HEALTH CARE
90 Main Street
Brockway, PA 15824
HIGHLANDS AT WYOMISSING
2000 Cambridge Avenue
Wyomissing, PA 19610
HIGHLANDS HOSPITAL
401 East Murphy Avenue
Connellsville, PA 15425
HILLCREST CENTER
1245 Church Road
Wyncote, PA 19095
HILLCREST HOME
404 E Harford Street
Milford, PA 18337
727 Goucher Street
Johnstown, PA 15905
315 Franklin Avenue
Scranton, PA 18503
Route 220
At The Meadows Intersec
HOLY FAMILY HOME
5300 Chester Avenue
Phila, PA 19143
HOLY FAMILY MANOR SKILLED NURSING
FACILITY
1200 Spring Street
Bethlehem, PA 18018
HOLY FAMILY RESIDENCE
2500 Adams Avenue
Scranton, PA 18509
HOLY REDEEMER HOSPITAL
1648 Huntingdon Park
Meadowbrook, PA 19046
HOLY SPIRIT HOSPITAL
503 North 21st Street
Camp Hill, PA 17011
HOMELAND CENTER
1901 N Fifth Street
HOMESTEAD CENTER
1113 N Easton Road
Willow Grove, PA 19090
HOMESTEAD VILLAGE INC
1800 Village Circle
Lancaster, PA 17603
HOMETOWN NURSING CENTER
RR 2 Box 118 B
Tamaqua, PA 18252
17
Appendix
Section 14
HOPEHILL NURSING HOME
IHS OF BRYN MAWR
ALPHANUMERIC: IH310666
HOPKINS HSG REHAB CENTER
IHS OF CHESTNUT HILL
HORSHAM CLINIC INC
IHS OF ERIE AT BAYSIDE
HOSPITAL OF UNIVERSITY OF PA
IHS OF GREATER PITTSBURGH
HOSPITALITY CARE CENTER HERMITAGE
IHS OF PA AT PLYMOUTH HOUSE
HPCOM PARKVIEW SKILLED NURSING
FACILITY
ALPHANUMERIC: HP395837
IMMACULATE MARY HOME
ALPHANUMERIC: IM395338
RR 6 Box 449 Woodwrd Drive
8100 Washington Lane
Wyncote, PA 19095
Welsh Rd Butler Pike
Ambler, PA 19002
3400 Spruce Street
Phila, PA 19104
3726 E State Street
Hermitage, PA 16148
1661 E Wyoming Avenue
Phila, PA 19124
HRH TRANSITIONAL CARE UNIT
ALPHANUMERIC: HR395861
1648 Huntingdon Pike
HUMBERT LANE HEALTH CARE CENTRE
ALPHANUMERIC: HU395692
90 Humbert Lane
Washington, PA 15301
HUNTINGDON MANOR
ALPHANUMERIC: HU395297
Warm Springs Avenue
Huntingdon, PA 16652
IHS AT MOUNTAIN VIEW
Box 249 Road 7
IHS AT WHITEMARSH
Central Park Lodge
9209 Ridge Pike
Phila, PA 19128
IHS GREENERY OF CANONSBURG
2200 Hill Church Houston R
956 Railroad Avenue
Bryn Mawr, PA 19010
8833 Stenton Avenue
Wyndmoor, PA 19038
4114 Schaper Avenue
Erie, PA 16508
890 Weatherwood Lane
900 E Germantown Pike
Holme Circle & Welsh Road
Phila, PA 19136
INDIAN CREEK NRSG CENTER
ALPHANUMERIC: IN395536
222 West Edison Avenue
INDIANA COUNTY HOME
1671 Saltzburg Avenue
Indiana, PA 15701
INDIANA HOSPITAL
835 Hospital Road
Indiana, PA 15701
INGLIS HOUSE
2600 Belmont Avenue
Phila, PA 19131
INN AT FREEDOM VILLAGE
124 Freedom Boulevard
INN AT FREEDOM VILLAGE
30 Freedom Boulevard
INTEGRATED HEALTH SERVICES AT PA INC
956 Railroad Avenue
Bryn Mawr, PA 19010
18
Appendix
Section 14
INTERIM CARE METROPOLITAN HOSPITAL
1331 E Wyoming Avenue
Phila, PA 19124
J F KENNEDY MEMORIAL HOSPITAL
ALPHANUMERIC: J390083
Langdon Cheltenham
Phila, PA 19124
J H A MARKLEYSBUG INC HENRY CLAY VILLA
ALPHANUMERIC: J395659
5253 National Pike
Markleysburg, PA 15459
JAMES E VAN ZANDT VA MEDICAL CENTER
ALPHANUMERIC: JA302702
27th St and Robin Avenue
Altoona, PA 16603
JAMESON CARE CENTER
3349 Wilmington Road
JAMESON MEMORIAL HOSPITAL
1211 Wilmington Avenue
JC BLAIR MEMORIAL HOSPITAL
ALPHANUMERIC: JC390056
Warm Springs Avenue
JEANES HOSPITAL
ALPHANUMERIC: JE390080
7600 Central Avenue
Phila, PA 19111
JEANNETTE DISTRICT MEMORIAL HOSPITAL
600 Jefferson Avenue
Jeannette, PA 15644
JEANNETTE DISTRICT MEMORIAL HOSPITAL SKILLED N
Jeannette, PA 15644
JEFFERSON HILLS MANOR
448 Old Clairton Road
Clairton, PA 15025
JEFFERSON MANOR HEALTH CENTER
RD 5
JEFFERSON TRANSITIONAL REHAB
Tjuh Ford Road Campus
3905 Ford Road
Phila, PA 19131
JERSEY SHORE HOSPITAL
1020 Thompson Street
Jersey Shore, PA 17740
JEWISH HOME AND HOSPITAL FOR AGED AT
PITTSBURGH
200 JHF Drive
JEWISH HOME HOSPITAL
4724 Browns Hill Road
JEWISH HOME OF ESTRN PA
1101 Vine Street
Scranton, PA 18510
JEWISH HOME OF GREATER HARRISBURG
4000 Linglestown Road
JOHN HEINZ INSTITUTE OF REHAB MEDICAL
ALPHANUMERIC: JO393012
99 Mundy Street Bx 2096
JOHN HEINZ INSTITUTE OF REHAB MEDICAL
150 Mundy Street
JOHN J KANE MCKEESPORT
100 Ninth Avenue
Mc Keesport, PA 15132
JOHN J KANE REGIONAL CENTER ROSS
TWNSHP
110 McIntyre Road
JOHN J KANE REGL CTR-SCOTT TWNSHP
DIVISION
300 Kane Road
JOHN J KANE-GLEN HAZEL
955 Rivermont Drive
19
Appendix
Section 14
JOHN XXIII HOME
KUTZTOWN MANOR
ALPHANUMERIC: KU395680
JULIA RIBAUDO HOME
ALPHANUMERIC: JU395493
LACKAWANNA COUNTY HLTHCARE CENTER
ALPHANUMERIC: LA395414
JULIA WILSON POUND HCC
ALPHANUMERIC: JU395568
LAFAYETTE MANOR
KANE COMMUNITY HOSPITAL
ALPHANUMERIC: KA390104
LAFAYETTE REDEEMER
KEARSLEY LONG TERM CARE CENTER
ALPHANUMERIC: KE395983
LAKESIDE AT WILLOW VALLEY
KENDAL AT LONGWOOD SKILLED NURSING
FACILITY
LAKESIDE NURSING CENTER
2250 Shenango Freeway
Hermitage, PA 16148
297 298 Center Drive
Lake Ariel, PA 18436
1155 Indian Springs Road
Indiana, PA 15701
North Fraley Street
Kane, PA 16735
2100 North 49th Street
Phila, PA 19131
3 Mi E of Kennett Square Route 1
Kennett Square, PA 19348
KENSINGTON HOSPITAL
136 W Diamond Street
Phila, PA 19122
KINGSTON HEALTH CARE
ALPHANUMERIC: KI313878
702 Third Avenue
Kingston, PA 18704
KINKORA PYTHIAN HOME
25 Cove Road
Duncannon, PA 17020
KIRKLAND VILLAGE
One Kirkland Circle
Bethlehem, PA 18017
KRAMM HEALTHCARE CENTER
ALPHANUMERIC: KR395570
743 Mahoning Street
Milton, PA 17847
KRAMM NURSING HOME
ALPHANUMERIC: KR328380
560 Broadway
Milton, PA 17847
120 Trexler Avenue
Kutztown, PA 19530
Sturgess Rd
Olyphant, PA 18447
120 Old New Salem Road
Uniontown, PA 15401
8580 Verree Road
Phila, PA 19111
300 Willow Valley Lks Drive
Willow Street, PA 17584
RD 4 Box 357 Old Lake Road
Dallas, PA 18612
LANCASHIRE HALL
2829 Lititz Pike
Lancaster, PA 17601
LANCASTER GENERAL
555 N Duke Street
Lancaster, PA 17602
LANCASTER GENERAL HOSPITAL SKILLED
NURSING FACIL
555 N Duke Street
Lancaster, PA 17603
LANCASTER GENERAL HOSPITAL SUS
DIVISION
631 Poplar Street
Columbia, PA 17512
LANDIS HOMES RETIREMENT COMMUNITY
1001 E Oregon Road
Lititz, PA 17543
LANGHORNE GARDENS REHAB AND NRSG
CENTER
350 Manor Avenue
Langhorne, PA 19047
20
Appendix
Section 14
LANKENAU HOSPITAL PHYSICAL THERAPY
DEPARTMENT
Wynnewood, PA 19096
LATROBE AREA HOSPITAL
121 W Second Avenue
Latrobe, PA 15650
LAUREL CREST MANOR
235 N Washington Street
Telford, PA 18969
LEBANON VALLEY BRETHREN HOME
ALPHANUMERIC: LE395437
1200 Grubb Street
Palmyra, PA 17078
LEBANON VALLEY HOME
550 E Main Street
Annville, PA 17003
LEHIGH MANOR NURSING REHAB CENTER
1718 Spring Creek Road
Macungie, PA 18062
LEHIGH VALLEY HOSPITAL
LAUREL CREST REHAB SPECIAL CARE CENTER ALPHANUMERIC: LE390133
17th and Chew Sts
Po Box 360
429 Manor Drive
Ebensburg, PA 15931
LAUREL HILL INC
900 Mill Street
Dunmore, PA 18512
LAUREL LIVING CENTER
RR 3 Box 3835
Hamburg, PA 19526
LAUREL NURSING AND REHAB CENTER
125 Holly Road
Hamburg, PA 19526
LAUREL RIDGE NRSG REHAB CENTER
75 Hickle Street
Uniontown, PA 15401
LAUREL VIEW VILLAGE
2000 Cambridge Drive
Davidsville, PA 15928
LAURELWOOD CARE CENTER
100 Woodmont Road
Johnstown, PA 15905
LEADER HLTHCARE REHAB CENTER II
2004 Old Arch Road
LEADER NURSING REHAB CENTER WEST
615 Wyoming Avenue
Kingston, PA 18704
Allentown, PA 18103
LEMINGTON HOME FOR THE AGED
1625 Lincoln Avenue
LEWISTOWN HOSPITAL
400 Highland Avenue
Lewistown, PA 17044
LIBERTY NURSING REHAB CENTER
ALPHANUMERIC: LI395264
17th and Allen Sts
Allentown, PA 18104
LIFEQUEST NURSING CENTER
2450 Route 663
LIMA ESTATES MEDICAL CARE FACILITY
411 N Middletown Road
Lima, PA 19037
LITTEL FLOWER MANOR
1201 Springfield Road
Darby, PA 19023
LITTLE FLOWER MANOR
Diocese of Scranton
200 S Meade Street
LITTLE SISTERS OF THE POOR
1028 Benton Avenue
21
Appendix
Section 14
LOCK HAVEN HOSPITAL
ALPHANUMERIC: LO390071
LUTHERAN HOME AT TOPTON
ALPHANUMERIC: LU395117
LOCK HAVEN HOSPITAL ECF
LUTHERAN HOME FOR THE AGED
LOCUST GROVE RETIREMENT VILLAGE
LUTHERAN NURSING REHAB CENTER
SPRENKLE
34 Cree Drive
Lock Haven, PA 17745
Irving & Bloomway
Hcr 67 Box 7
Mifflin, PA 17058
LOGAN SQUARE EAST CARE CENTER
Two Franklintown Boulevard
Phila, PA 19103
LONGWOOD AT OAKMONT
500 Route 909
Verona, PA 15147
LONGWOOD VILLA GERIATRIC NURSING
CENTER
1194 Naamans Creek Road
Boothwyn, PA 19061
LOWER BUCKS HOSPITAL
501 Bath Road
Bristol, PA 19007
LOYALHANNA CARE CENTER
RR 2 Box 14
Latrobe, PA 15650
LUTHER ACRES MANOR
400 St Luke Drive
Lititz, PA 17543
LUTHER CREST RETIREMENT COMMUNITY
800 Hausman Road
Allentown, PA 18104
LUTHER WOODS CONV CENTER
313 County Line Road
Hatboro, PA 19040
LUTHERAN HOME AT KANE
Clay St Extension
Kane, PA 16735
1 South Home Avenue
Topton, PA 19562
149 West 22nd Street
Erie, PA 16502
1801 Folkemer Circle
York, PA 17404
LUTHERN HOME AT KANE
RR 1 Box 92AA
Kane, PA 16735
LUTHERN HOME TELFORD
235 N Washington Street
Telford, PA 18969
MAGEE REHABILITATIONHSP
ALPHANUMERIC: MA393038
6 Franklin Plaza
Phila, PA 19102
MAGEE-WOMENS HOSPITAL UPMC HEALTH
SYSTM
300 Halket Street
MAHONING VALLEY NURSING REHAB CENTER
397 Hemlock Drive
Lehighton, PA 18235
MAIN LINE HOSPITAL INC BRYN MAWR
130 S Bryn Mawr Avenue
Bryn Mawr, PA 19010
MAIN LINE HOSPITAL INC PAOLI MEMORIAL
255 W Lancaster
Paoli, PA 19301
MAIN LINE INC LANKENAU HOSPITAL
Lancaster Avenue City Lane
Wynnewood, PA 19096
MAIN LINE NURSING REHAB CENTER
283 E Lancaster Avenue
Malvern, PA 19355
22
Appendix
Section 14
MAJESTIC OAKS
MANORCARE HEALTH SERV CHAMBERSBURG
MALTA HOME FOR THE AGING
MANORCARE HEALTH SERV EASTON
MANATAWNY MANOR
MANORCARE HEALTH SERV ELIZABETHTOWN
MANCHESTER HOUSE NURSING
MANORCARE HEALTH SERV HARRISBURG
MANOR CARE BETHLEHEM
MANORCARE HEALTH SERV JERSEY SHORE
MANOR CARE HEALTH SERVICES
MANORCARE HEALTH SERV KINGSTON
COURT
333 Newtown Road
Malta Lane Box E
Granville, PA 17029
Old Schuylkill Road Bx799
Pottstown, PA 19464
411 Manchester Avenue
Media, PA 19063
2029 West Gate Drive
Bethlehem, PA 18017
King of Prussia
600 W Valley Forge Road
King of Prussia, PA 19406
MANOR CARE HEALTH SERVICES
Devon Manor
Devon, PA 19333
MANOR CARE HEALTH SVCSAT FITZGERALD
600 S Wycombe Avenue
Yeadon, PA 19050
MANORCARE HEALTH SER YORK NORTH
1770 Barley Road
York, PA 17404
MANORCARE HEALTH SERV BETHLEHEM
2021 Westgate Drive
Bethlehem, PA 18017
MANORCARE HEALTH SERV BETHLEHEM II
2029 Westgate Drive
Bethlehem, PA 18017
MANORCARE HEALTH SERV CAMP HILL
1700 Market Street
Camp Hill, PA 17011
1070 Stouffer Avenue
2600 Northampton Street
Easton, PA 18042
320 S Market Street
Elizabethtown, PA 17022
800 King Russ Road
1008 Thompson Street
Jersey Shore, PA 17740
2400 Kingston Court
York, PA 17402
MANORCARE HEALTH SERV KINGSTON EAST
200 Second Avenue
Kingston, PA 18704
MANORCARE HEALTH SERV LAURELDALE
2125 Elizabeth Avenue
Laureldale, PA 19605
MANORCARE HEALTH SERV LEBANON
900 Tuck Street
Lebanon, PA 17042
MANORCARE HEALTH SERV POTTSVILLE
420 Pulaski Drive
MANORCARE HEALTH SERV SINKING SPRG
3000 Windmill Road
Sinking Spring, PA 19608
MANORCARE HEALTH SERV SUNBURY
800 Court Street Circle Drive
Sunbury, PA 17801
23
Appendix
Section 14
MANORCARE HEALTH SERV W READING
MANORCARE HEALTH SERVICES YEADON
MANORCARE HEALTH SERV WHITEHALL
MANORCARE HEALTH SVCS-BETHEL PARK
425 Buttonwood Street
W Reading, PA 19611
100 Abbeyville Road
Lancaster, PA 17603
Lincoln-Lansdowne Avenue
Yeadon, PA 19050
60 Highland Road
Bethel Park, PA 15102
MANORCARE HEALTH SERV WILLIAMSPORT N MANORCARE HEALTH SVCS-GREENTREE
300 Leader Drive
1848 Greentree Road
MANORCARE HEALTH SERV WILLIAMSPORT S MANORCARE HEALTH SVCS-MCMURRAY
101 Leader Drive
113 West McMurray
Mc Murray, PA 15317
MANORCARE HEALTH SERV YORK SOUTH
MANORCARE HEALTH SVCS-NORTH HILLS
MANORCARE HEALTH SERVICES
MANSION NSG CONV HOME
200 Pauline Drive
York, PA 17402
Huntingdon Valley
Huntingdon Valley, PA 19006
1105 Perry Highway
1040 52 Market Street
Sunbury, PA 17801
MAPLE FARM NURSING CENTER
MANORCARE HEALTH SERVICES ALLENTOWN ALPHANUMERIC: MA395124
Rte 272
1265 S Cedar Crest Boulevard
Allentown, PA 18103
MANORCARE HEALTH SERVICES CARLISLE
940 Walnut Bottom Road
Carlisle, PA 17013
MANORCARE HEALTH SERVICES
DALLASTOWN
100 W Queen Street
Dallastown, PA 17313
MANORCARE HEALTH SERVICES LANSDALE
640 Bethlehem Pike
Montgomeryville, PA 18936
MANORCARE HEALTH SERVICES POTTSTOW
NORTH
724 N Charlotte Street
Pottstown, PA 19464
MANORCARE HEALTH SERVICES YARDLEY
Akron, PA 17501
MAPLEWOOD MANOR CONV CENTER INC
125 W Schoolhouse Lane
Phila, PA 19144
MARIAN COMMUNITY HOSPITAL
100 Lincoln Avenue
MARIAN MANOR CORPORATION
2695 Winchester Drive
MARINER HEALTH CARE OF WEST HILLS
951 Brodhead Road
Coraopolis, PA 15108
MARWOOD REST HOME INC
1018-20 Oak Lane Avenue
Phila, PA 19126
1480 Oxford Valley Road
Yardley, PA 19067
24
Appendix
Section 14
MARY EVANS EXTENSION CARE CENTER
MEADOWOOD
ALPHANUMERIC: ME395768
MARY J DREXEL HOME
MEADOWS NURSING CENTER
MASONIC EASTERN STAR HOME
MEADVILLE MEDICAL CENTER
MASONIC EASTERN STAR HOME WEST
MEADVILLE MEDICAL CTR-SNF
MASONIC HOME OF PA
MEDA NIPPLE CONV HOME
MASONIC HOMES
MEDICAL CENTER BEAVER PA LTC UNIT
MAYO CENTER
MEDICAL COLLEGE HOSPITALS
724 Pershing Street
Ellwood City, PA 16117
238 Belmont Avenue
Bala Cynwyd, PA 19004
850 Norristown Road
226 Bellevue Road
801 Ridge Pike
Lafayette Hill, PA 19444
Masonic Dr
650 Edison Avenue
Phila, PA 19116
MAYVIEW STATE HOSPITAL
1601 Mayview Road
3205 Skippack Pike
Worcester, PA 19490
55 W Center Hill Road
Dallas, PA 18612
751 Liberty Street
Meadville, PA 16335
1034 Grove Street
Meadville, PA 16335
RR 1 Box 109
Thompsontown, PA 17094
1000 Dutch Ridge Road
Beaver, PA 15009
Lawndale Division
Devereaux and Palmeto
Phila, PA 19111
MEMORIAL HOSPITAL
325 S Belmont Street
York, PA 17403
MAYVIEW STATE HOSPITAL LONG TERM CARE
MEMORIAL HOSPITAL ASSOCIATION
1601 Mayview Road
MAYVIEW STATE LONG TERM CARE
1601 Mayview Road
MCMURRAY HILLS MANOR
ALPHANUMERIC: MC395032
249 West McMurray Road
Mc Murray, PA 15317
MEADOW VIEW NURSING CENTER
1404 Hay Street
Berlin, PA 15530
One Hospital Drive
Towanda, PA 18848
MEMORIAL HOSPITAL SKILLED NURSING
FACILITY
One Hospital Drive
Towanda, PA 18848
MENGLE CARE UNIT DUBOIS REG MEDICAL
CENTER
Maple Avenue
Du Bois, PA 15801
MENNO HAVEN INC
2075 Scotland Avenue
25
Appendix
Section 14
MENNO HAVEN PENN HALL INC
MERCY PROVIDENCE HOSPITAL
MENNONITE HOME
MERCY PROVIDENCE HOSPITAL PSYCHIATRY
INSTITUTE
1425 Philadelphia Avenue
1520 Harrisburg Pike
Lancaster, PA 17601
MERCER COUNTY LIVING CENTER
RR 2
Mercer, PA 16137
MERCY ADULT SERVICES
Edmonda Hall Room 240
Darby, PA 19023
MERCY CENTER NURSING UNIT INC
Lake Street
Dallas, PA 18612
MERCY CENTER NURSING UNIT INC
Lake St
Dallas, PA 18612
MERCY DOUGLASS HUMAN SERV CENTER
4508-38 Chestnut Street
Phila, PA 19139
MERCY FITZGERALD HOSPITAL
1500 Lansdowne Avenue
Darby, PA 19023
MERCY HAVERFORD HOSPITAL
2000 Old W Chester
Havertown, PA 19083
MERCY HEALTH CARE CENTER
Newport St
Nanticoke, PA 18634
MERCY HOSPITAL OF PHILADELPHIA
54th and Cedar Aves
Phila, PA 19143
MERCY HOSPITAL SCRANTON
Scranton, PA 18510
MERCY HOSPITAL WILKES BARRE
1004 Arch Street
1004 Arch Street
MERCY PSYCHIATRIC INSTITUTE
3339 McClure Avenue
MERCY SPECIAL CARE HOSPITAL
128 W Washington Street
Nanticoke, PA 18634
MERCY SUBURBAN HOSPITAL
2701 Dekalb Pike
MESSIAH VILLAGE
100 Mount Allen Road
METHODIST HOSPITAL
2301 S Broad Street
Phila, PA 19148
METHODIST HOSPITAL NURSING CENTER
Fourth and Porter Sts
Phila, PA 19148
METHODIST HOSPITAL NURSING CENTER
Fourth and Porter Sts
Phila, PA 19148
METRO HEALTH CENTER
252 West Eleventh St
Erie, PA 16501
MEYERSDALE MEDICAL CENTER
200 Hospital Drive
Meyersdale, PA 15552
MID-VALLEY HOSPITAL
ALPHANUMERIC: MI390109
1400 S Main Street
Peckville, PA 18452
25 Church Street
26
Appendix
Section 14
MIFFLIN HEALTH CARE CENTER
MONTGOMERY CO EMERGENCY SERV
ALPHANUMERIC: MO394033
MILFORD VALLEY CONV HOME
MONTGOMERY COUNTY GER AND REHAB
MILLCREEK COMMUNITY HOSPITAL
MONTGOMERY HOSPITAL
MILLVILLE HEALTH CENTER
MONTGOMERY HOSPITAL SKILLED NURSING
UNIT
500 E Phila Avenue
Shillington, PA 19607
Rtes 6 and 209
Milford, PA 18337
5515 Peach Street
Erie, PA 16509
State St
Millville, PA 17846
MILTON S HERSHEY MEDICAL CENTER
500 University Drive
Hershey, PA 17033
Stanbridge and Sterigere
1600 Black Rock Road
Royersford, PA 19468
1301 Powell Street
Montgomery Hospital
1301 Powell Street
MONTGOMERY HOSPITAL SKILLED NURSING
UNIT
MIMERS MEMORIAL GERIATRIC CENTER
Powell Fornance Sts
MINERS HOSPITAL
Media, PA 19063
360 W Ruddle Street
Coaldale, PA 18218
Po Box 689
290 Haida Avenue
Hastings, PA 16646
MINERS HOSPITAL SWING BED UNIT
Po Box 689
290 Haida Avenue
Hastings, PA 16646
MINERS MEMORIAL MEDICAL CENTER
Seventh Street
Coaldale, PA 18218
MONONGAHELA VALLEY HOSPITAL INC
Country Club Road
MONONGAHELA VALLEY HOSPITAL SKILLED
CARE COURT
Country Club Road
MONSOUR MEDICAL CENTER
70 Lincoln Way East
Jeannette, PA 15644
MONTICELLO HOUSE
MONTROSE GENERAL HOSPITAL
3 Grow Avenue
Montrose, PA 18801
MORANS HOME
402 Maple Avenue
Bellwood, PA 16617
MORAVIAN HALL SQUARE HEALTH CARE
175 W North Street
Nazareth, PA 18064
MORAVIAN MANORS
300 West Lemon Street
Lititz, PA 17543
MORRISONS COVE
429 S Market Street
Martinsburg, PA 16662
MOSES TAYLOR HOSPITAL
700 Quincy Avenue
Scranton, PA 18510
27
Appendix
Section 14
MOSES TAYLOR HOSPITAL SKILLED NURSING
FACILITY
MULBERRY SQUARE
ALPHANUMERIC: MU395618
407 Mulberry Square
Punxsutawney, PA 15767
700 Quincy Avenue
Scranton, PA 18510
MUNCY VALLEY HOSPITAL
MOSS REHABILITATION HSP
215 E Water Street
Muncy, PA 17756
12th and Tabor Road
Phila, PA 19141
MUNCY VALLEY HOSPITAL SKILLED NURSING
FACILITY
MOSSER NURSING HOME SKILLED NURSING
FACILITY
215 E Water Street
Muncy, PA 17756
Mosser Rd Box 133
Trexlertown, PA 18087
NAAMANS CREEK COUNTRY MANOR
ALPHANUMERIC: NA300289
MOUNT MACRINA MANOR
1194 Naamans Creek Road
Boothwyn, PA 19061
520 W Main Street
Uniontown, PA 15401
NASON HOSPITAL ASSOCIATION
MOUNT SINAI HOSPITAL SKILLED NURSING
FACILITY
Nason Dr
Roaring Spring, PA 16673
Fourth and Reed Sts
Phila, PA 19147
NAZARETH HOSPITAL
MOUNTAIN CITY CONV REHAB CENTER
2601 Holme Avenue
Phila, PA 19152
1000 W 27th Street
Hazleton, PA 18201
NAZARETH HOSPITAL TRANSITIONAL CARE
MOUNTAIN REST NSG HOME
2601 Holme Avenue
100 Linwood Avenue
Scranton, PA 18505
NESHAMINY MANOR HOME
ALPHANUMERIC: NE395010
MOUNTAIN VIEW MANOR
Route 611 Almshouse Road
RR 1 Box 228
Coal Township, PA 17866
NEUMANN MEDICAL CENTER
MOUNTAIN VIEW NURSING HOME
1741 Frankford Avenue
2309 Stafford Avenue
Scranton, PA 18505
NEW RALSTON HOUSE
MUHLENBERG HOSPITAL CENTER
Phila, PA 19104
2545 Schoenersvillerd
Bethlehem, PA 18017
NIPPLE CONV HOME
ALPHANUMERIC: NI395703
MUHLENBERG REHAB CARE CENTER
100 South Front Street
Liverpool, PA 17045
2855 Schoenersville Road
Bethlehem, PA 18017
NORMANDIE RIDGE
ALPHANUMERIC: NO395902
MUL SCHUYLKILL MANOR
1700 Normandie Drive
York, PA 17404
1000 Schuylkill Manor Road
28
Appendix
Section 14
NORMANDY FARMS ESTATES NSG FACILITY
NUGENT CONV HOME
ALPHANUMERIC: NU304442
NORRISTOWN STATE H
OAKS NSG REHAB CENTER
ALPHANUMERIC: OA395204
NORRISTOWN STATE HOSPITAL LTC
OAKWOOD SENIOR LIVING CENTER
ALPHANUMERIC: OA391390
1801 Morris Road
Blue Bell, PA 19422
1001 Sterigere Street
Stanbridge Sterigere Street
NORTH PENN CONVALESCENT CENTER
25 West Fifth Street
Lansdale, PA 19446
NORTH PENN HOSPITAL
100 Medical Campus Drive
Lansdale, PA 19446
NORTHAMPTON CONV CENTER
498 Washington Street
Easton, PA 18042
NORTHEASTERN HOSPITAL PHILA
2301 E Allegheny Avenue
Phila, PA 19134
NORTHEASTERN VETERANS CENTER SKILLED
NURSING FAC
401 Penn Avenue
Scranton, PA 18503
NORTHWEST INSTITUTE PSYCHIATRY
450 Bethlehem Park
Ft Washington, PA 19034
NORTHWEST MEDICAL CENTER
One Spruce Street
Franklin, PA 16323
NORTHWOOD NSG CONV HOME
4621 Castor Avenue
Phila, PA 19124
NOTTINGHAM VILLAGE
Strawbridge Rd
Northumberland, PA 17857
500 Clarksville Road
Hermitage, PA 16148
240 Barker Road
Wyncote, PA 19095
RR 2
400 Gleason Drive
Pittston, PA 18640
OHESSON MANOR
ALPHANUMERIC: OH395373
350 Green Avenue Extension
Lewistown, PA 17044
OHIO VALLEY GENERAL HOSPITAL
ALPHANUMERIC: OH390157
25 Heckel Road
Mc Kees Rocks, PA 15136
OIL CITY HOSPITAL & SKILLED NURSING
FACILITY
ALPHANUMERIC: OI395327
174 E Bissell Avenue
Oil City, PA 16301
OIL CITY PRESBYTERIAN HOME
ALPHANUMERIC: OI395502
10 Vo Technical Drive
Oil City, PA 16301
ORCHARD MANOR INC
ALPHANUMERIC: OR305651
20 Orchard Drive
ORWIGSBURG MANOR
ALPHANUMERIC: OR395832
1000 Orwigsburg Manor Drive
Orwigsburg, PA 17961
OSPREY RIDGE HEALTHCARE SKILLED
NURSING FACILITY
ALPHANUMERIC: OS322783
45 N Scott Street
PALMERTON HOSPITAL
ALPHANUMERIC: PA390019
135 Lafayette Avenue
Palmerton, PA 18071
PARK PLEASANT NURSING HOME
4712 16 Chester Avenue
29
Appendix
Section 14
PARK PLEASANT NURSING HOME
4712-16 Chester Avenue
Phila, PA 19143
PASSAVANT RETIREMENT-HLTH CENTER
401 South Main Street
Zelienople, PA 16063
PAULS RUN
Phila, PA 19115
PAULS RUN
Phila, PA 19115
PENNYPACK NURSING AND REHAB CENTER
ALPHANUMERIC: PE395135
8015 Lawndale Street
Phila, PA 19111
PERRY VILLAGE
RR 2 Box 68
New Bloomfield, PA 17068
PETER BECKER MEMORIAL HOME
Maple Avenue Yoder Road
Harleysville, PA 19438
PHILA CHILD GUIDANCE CLNC
ALPHANUMERIC: PH305149
Two Childrens Center
PEMBROOKE HEALTH AND REHAB RESIDENCE 34th St Civic Center Boulevard
Phila, PA 19104
1130 West Chester Pike
PHILA PROTESTANT HOME FOR AGED
700 E Gilham Street
PENN LUTHERAN VILLAGE
Phila, PA 19111
800 Broad Street
PHILADELPHIA GERIATRIC CENTER
Selinsgrove, PA 17870
5301 Old York Road
PENNA HOSPITAL SKILLED CARE CENTER
Phila, PA 19141
Eighth and Spruce Sts
PHILADELPHIA NURSING HOME
Phila, PA 19107
Girard Corinthian Avenue
PENNA SOLDIERS SAILORS HM
Phila, PA 19130
560 E Third Street
PHILADELPHIA PROTESTANT HOME
Erie, PA 16507
6500 Tabor Road
PENNKNOLL VILLAGE NURSING HM
Phila, PA 19111
208 Pennknoll Village
PHILHAVEN HOSPITAL
Everett, PA 15537
283 S Butler Road
PENNSBURG NURSING AND REHAB CENTER
Mt Gretna, PA 17064
530 Macoby Street
PHILIPSBURG AREA HOSPITAL
Pennsburg, PA 18073
210 Loch Lomond Road
PENNSWOOD VILLAGE
Philipsburg, PA 16866
Rte 413
PHOEBE BERKS HEALTH CARE CENTER INC
Newtown, PA 18940
One Heidelberg Drive
PENNSYLVANIA HOSPITAL OF THE
University of Pa Health System
PHOEBE HOME INC
Eighth and Spruce Sts
Phila, PA 19107
PENNSYLVANIA MEMORIAL HOME
1925 Turner Street
Allentown, PA 18104
51 Euclid Avenue
30
Appendix
Section 14
PHOENIXVILLE CONV MANOR
PLEASANT VIEW HOME INC
ALPHANUMERIC: PL305656
PHOENIXVILLE HOSPITAL
PLEASANT VIEW RETIREMENT COMMUNITY
PICKERING MANOR
ALPHANUMERIC: PI395597
PLYMOUTH HOUSE HEALTH CARE CENTER
PINE RUN MEDICAL CENTER
POCONO MEDICAL CENTER
ALPHANUMERIC: PO390201
PINE VIEW MANOR
POCOPSON HOME
PINECREST MANOR
POLYCLINIC MC EXTENSION CARE FACILITY
PINEY MOUNTAIN HOME
POLYCLINIC MEDICAL CENTER LT
PINNACLE HEALTH HOSPITAL
POTTSTOWN MEMORIAL MEDICAL CEN
PITTSBURGH SPECIALTY HOSPITAL
POTTSVILLE HOSPITAL WRN CLINIC
PLEASANT RIDGE MANOR
PRESBY MEDICAL CENTER WASHINGTON
ALPHANUMERIC: PR395671
PLEASANT RIDGE MANOR EAST
PRESBYTERIAN HEALTH CENTER
PLEASANT VALLEY MANOR
PRESBYTERIAN HEALTH SERVICES
833 South Main Street
Phoenixville, PA 19460
140 Nutt Road
Phoenixville, PA 19460
226 N Lincoln Avenue
Newtown, PA 18940
777 Ferry Road
Swinderman Rd Box 191
Wexford, PA 15090
Saint Marys, PA 15857
6375 Chambersburg Road
Fayetteville, PA 17222
2601 N Third Street
215 South Negley Avenue
8300 West Ridge Road
Girard, PA 16417
4728 Lake Pleasant Road
Erie, PA 16504
4227 Manor Drive
Stroudsburg, PA 18360
544 North Penryn Road
Manheim, PA 17545
544 N Penryn Road
Manheim, PA 17545
900 E Germantown Pike
206 E Brown Street
E Stroudsburg, PA 18301
1695 Lenape Road
W Chester, PA 19382
2601 North Third Street
Third and Radnor Sts
1600 E High Street
Pottstown, PA 19464
420 S Jackson Street
835 S Main Street
400 E Marshall Street
400 East Marshall Street
31
Appendix
Section 14
PRESBYTERIAN HOME
PUNXSUTAWNEY AREA HOSPITAL SN UNIT
ALPHANUMERIC: PU395215
PRESBYTERIAN HOME AT 58TH STREET
QUADRANGLE
ALPHANUMERIC: QU395008
PRESBYTERIAN HOME FOR AGED
QUAKERTOWN COMMUNITY HOSPITAL
PRESBYTERIAN HOME-JOHNSTOWN
QUAKERTWN MANOR CONV REHAB CENTER
PRESBYTERIAN LODGE
QUARRYVILLE PRESBY HOME
PRESBYTERIAN MEDICAL CENTER
QUINCY UNITED METHODIST HOME
PRESBYTERIAN MEDICAL CTR-OAKMONT
READING HOSPITAL AND MEDICAL CENTER
ALPHANUMERIC: RE390044
PROJECT TRANSITION
REBECCA RESIDENCE
PROSPECT PARK NURSING CENTER
REFORMED PRESBYTERIAN HOME
PROTOCALL
REGENCY HALL NURSING HOME
PROVIDENCE CARE CENTER
REGINA COMMUNITY NSG CENTER
PUNXSUTAWNEY AREA HOSPITAL
ALPHANUMERIC: PU390199
REGINA COMMUNITY NURSING CENTER AT
65TH STREET
220 Newry Street
58th St Greenway Avenue
Phila, PA 19143
4700 City Line Avenue
Phila, PA 19131
787 Goucher Street
Johnstown, PA 15905
2628 Elmwood Avenue
Erie, PA 16508
51 N 39th Street
1215 Hulton Road
Oakmont, PA 15139
21 W Ashland Avenue
815 Chester Pike
Prospect Park, PA 19076
400 Market Street Fourth Floor
Phila, PA 19106
P O Box 140
900 Third Avenue
81 Hillcrest Drive
81 Hillcrest Drive
3300 Darby Road
Haverford, PA 19041
11 Th Street Park Avenue
1020 S Main Street
625 Robert Fulton Highway
Quarryville, PA 17566
Orphanage Road
Quincy, PA 17247
6 Th Spruce Sts
W Reading, PA 19611
3746 Cedar Ridge Road
Allison Park, PA 15101
2344 Perrysville Avenue
9399 Babcock Boulevard
Allison Park, PA 15101
550 East Fornance Street
230 N 65th Street
Phila, PA 19139
32
Appendix
Section 14
REHAB HSP SPECIALIST SERVICE OF YORK
RIVERS EDGE NSG REHAB CENTER
ALPHANUMERIC: RI395693
RENOVA CENTER FOR SPECIAL SERVICES
RIVERSIDE CARE CENTER
REST HAVEN YORK
RIVERSTREEET MANOR NURSING REHAB
CENTER
1850 Normandie Drive
York, PA 17404
4950 Wilson Lane
1050 S George Street
York, PA 17403
REST HAVEN-SCHUYLKILL COUNTY HOME
401 University Drive
Schuylkill Haven, PA 17972
RICHBORO REHAB AND NURSING CENTER
253 Twining Ford Road
Richboro, PA 18954
RIDDLE MEMORIAL HOSPITAL
Media, PA 19063
RIDDLE MEMORIAL HOSPITAL SKILLED
NURSING FACILIT
US Rte 1
Media, PA 19063
RIDGECREST CONVALESCENT CENTER INC
1730 Buck Hill Road
Feasterville, PA 19047
RIDGEVIEW ELDER CARE REHAB CNTR
RR 3 Box 299A
Curwensville, PA 16833
RITTENHOUSE CARE CENTER
1526 Lombard Street
Phila, PA 19146
RITTENHOUSE PINE CENTER
1700 Pine Street
RIVER WOODS
1 River Drive
Lewisburg, PA 17837
9501 State Road
Phila, PA 19114
100 Eighth Avenue
440 N River Street
ROBERT PACKER HOSPITAL
ALPHANUMERIC: RO390079
Guthrie Square
Sayre, PA 18840
ROCHESTER MANOR
174 Virginia Avenue
Rochester, PA 15074
ROCKHILL MENNONITE COMMUNITY
3250 State Road
ROLLING FIELDS NURSING HOME
Po Box D Route 198
Conneautville, PA 16406
ROLLING HILL HOSPITAL SKILLED NURSING
FACILITY
ROLLING HILLS MANOR
RR 1
Millmont, PA 17845
ROLLING MEADOWS
107 Curry Road
ROSE VIEW MANOR INC
1201 Rural Avenue
ROSEMONT MANOR
35 Rosemont Avenue
Rosemont, PA 19010
33
Appendix
Section 14
ROSLYN NURSING REHAB CENTER
2630 Woodland Road
Roslyn, PA 19001
ROUSE-WARREN COUNTY HOME
701 Rouse Avenue
Youngsville, PA 16371
ROXBOROUGH MEMORIAL HOSPITAL
5800 Ridge Avenue
Phila, PA 19128
ROXBOROUGH MEMORIAL HOSPITAL
SKILLED NURSING FAC
SANATOGA MANOR NURSING REHAB CENTER
ALPHANUMERIC: SA309962
Delm Nursing Inc
225 Evergreen Road
Pottstown, PA 19464
SANDIN HOME HEALTH SERVICES INC
1119 Broadway
East McKeesport, PA 15035
SARAH A REED CENTER
227 West 22nd Street
Erie, PA 16502
SARAH A TODD MEMORIAL HOME
5800 Ridge Avenue
Phila, PA 19128
1000 West South Street
Carlisle, PA 17013
RYDAL PARK OF PHILA PRESBY HOMES
ALPHANUMERIC: RY395321
SAUNDERS HOUSE
1515 Fairway
Rydal, PA 19046
Wynnewood, PA 19096
SACRED HEART HOSPITAL ALLENTOWN
SAXONY HEALTH CENTER
421 Chew Street
Allentown, PA 18102
SACRED HEART HOSPITAL NORRISTOWN
1430 Dekalb Street
SACRED HEART HOSPITAL SKILLED NURSING
FACILITY
421 Chew Street
Allentown, PA 18102
SACRED HEART MANOR
Phila, PA 19119
SACRED HEART MANOR-PHILA
Phila, PA 19119
SAINT MARTHA MANOR
470 Manor Avenue
Downingtown, PA 19335
SAINT VINCENT HEALTH CENTER
232 West 25th Street
Erie, PA 16544
Pittsburgh St
Saxonburg, PA 16056
SAXONY HEALTH CENTER
Saxonburg Boulevard
Po Box 458
Saxonburg, PA 16056
SAYRE HOUSE INC
N Elmer Avenue
Sayre, PA 18840
SCENERY HILL MANOR
ALPHANUMERIC: SC395313
680 Lions Health Camp Road
Indiana, PA 15701
SCOTTDALE MANOR REHAB CENTER
900 Porter Avenue
Scottdale, PA 15683
SCRANTON SURGERY CENTER LTD
425 Adams Avenue
Scranton, PA 18510
SEIDLE MEMORIAL HOSPITAL
ALPHANUMERIC: SE390014
120 S Filbert Street
34
Appendix
Section 14
SENA KEAN MANOR
SIDNEY SQUARE CARE CENTER
ALPHANUMERIC: SI395776
SETON MANOR
SIEMONS LAKEVIEW MANOR
SEWICKLEY VALLEY HOSPITAL
SILVER LAKE CENTER
SHAMOKIN AREA COMMUNITY HOSPITAL
ALPHANUMERIC: SH390189
SILVER STREAM CENTER
SHARON GENERAL HOSPITAL LTC UNIT
SIMPSON HOUSE INC
SHARON REGIONAL HEALTH SYSTEM
SKYVUE TERRACE
ALPHANUMERIC: SK395666
SHENANDOAH MANOR NURSING CENTER
SLATE BELT NURSING AND REHAB CENTER
ALPHANUMERIC: SL395494
SHERWOOD OAKS
SMITH NURSING CONV HOME INC
ALPHANUMERIC: SM395716
SHIPPENSBURG HEALTH CARE CENTER
SNYDER MEMORIAL HEALTH CARE CENTER
ALPHANUMERIC: SN395728
RR 1
Smethport, PA 16749
1000 Seton Drive
Orwigsburg, PA 17961
720 Blackburn Road
Sewickley, PA 15143
4200 Hospital Road
Shamokin, PA 17872
740 E State Street
Sharon, PA 16146
740 East State Street
Sharon, PA 16146
101 E Washington Street
Shenandoah, PA 17976
100 Norman Drive
Mars, PA 16046
Shippensburg, PA 17257
SHOOK HOME
55 S Second Street
SHRINERS HOSPITAL CRPPLD CHLDRN
1645 W Eighth Street
Erie, PA 16505
SHRINERS HOSPITAL CRPPLD CHLDRN PHILA
Phila, PA 19152
2112 Sidney Street
228 Sieman Drive
Somerset, PA 15501
905 Tower Road
Bristol, PA 19007
905 Pennlyn Pike
Springhouse, PA 19477
Belmont and Monument Avenue
Phila, PA 19131
2170 Rhine Street
701 Slate Belt Boulevard Road 3
Bangor, PA 18013
453 Main Road
Mountain Top, PA 18707
South Cherry Street
Po Box 680 Rte 66
Marienville, PA 16239
SOLDIERS SAILORS MEMORIAL HOSPITAL
ALPHANUMERIC: SO390043
32-36 Central Avenue
Wellsboro, PA 16901
SOMERSET HOSPITAL
225 South Center Avenue
Somerset, PA 15501
SOMERSET HOSPITAL CENTER FOR HEALTH
225 South Center Avenue
Somerset, PA 15501
35
Appendix
Section 14
SOMERSET PATRIOT MANOR
ST AGNES HOSPITAL
ALPHANUMERIC: ST390022
SOMERSET PATRIOT MANOR INC
ST AGNES MEDICAL CENTER SKILLED
NURSING FACILITY
495 W Patriot Street
Somerset, PA 15501
461 Tayman Avenue
Somerset, PA 15501
SOUDERTON MENNONITE HOME
207 W Summit Avenue
Souderton, PA 18964
SOUTH CHESTER CO MEDICAL CENTER
W Grove, PA 19390
SOUTH HILLS HEALTH SYSTEM
Coal Valley Road
SOUTH MOUNTAIN RESTORATION CENTER
10058 S Mountain Road
S Mountain, PA 17261
SOUTHAMPTON ESTATES MEDICAL FACILITY
238 W Street Road
Southampton, PA 18966
SOUTHWEST NSRG HOME REHAB COURT
500 Lewis Run Road
SOUTHWOOD PSYCHIATRIC HOSPITAL INC
2575 Boyce Plaza Road
SPANGCREST NURSING HM
ALPHANUMERIC: SP395365
945 Duke Street
Lebanon, PA 17042
SPRING HOUSE ESTATES MEDICAL FACILITY
Norristown McKean Roads
Spring House, PA 19477
SPRUCE MANOR NRSG AND REHAB CENTER
220 S Fourth and Spruce
W Reading, PA 19611
1900 S Broad Street
Phila, PA 19145
1900 South Broad Street
ST ANNE HOME FOR ELDERLY
685 Angela Drive
ST ANNES HOME
RR 2
Columbia, PA 17512
ST BARNABAS INC
5827 Meridian Road
Gibsonia, PA 15044
ST CLAIR MEMORIAL HOSPITAL
1000 Bower Hill Road
ST FRANCIS CENTRAL HOSPITAL
1200 Centre Avenue
ST FRANCIS COUNTRY HOUSE
14th and Lansdowne Avenue
Darby, PA 19023
ST FRANCIS HOSPITAL CRANBERRY
One St Francis Way
Cranberry Twp, PA 16066
ST FRANCIS HOSPITAL OF NEW CASTLE
1000 S Mercer Street
ST FRANCIS HOSPITAL OF NEW CASTLE
S Mercer At Phillips
Skilled Nursing Center
ST FRANCIS MEDICAL CENTER
400 45th Street
36
Appendix
Section 14
ST FRANCIS MEDICAL CENTER TCU
ST JOSEPHS VILLA
ST FRANCIS NSRG CENTER EAST
ST LUKE MANOR
ST FRANCIS NURSING CENTER-NORTH
ST LUKE PAVILION
ST IGNATIUS NURSING HOME
ST LUKES HOSPITAL BETHLEHEM
ST JOHN NEUMANN NURSING HOME
ST LUKES QUAKERTOWN TRNS CARE UNIT
ST JOHNS GENERAL HOSPITAL ECF
ST MARGARET SENECA PLACE
ST JOHNS LUTHERAN CARE CENTER
ST MARY MEDICAL CENTER
ST JOSEPH HOME FOR THE AGED
ST MARY VILLA NURSING HOME
ST JOSEPH HOSPITAL LANCASTER
ST MARYS HOME OF ERIE
ST JOSEPH MEDICAL CENTER
ST MARYS MANOR
ST JOSEPHS MANOR
ST PAUL HOMES
ST JOSEPHS NRSG HLT CARE CENTER
STAPELEY IN GERMANTOWN
400 45th Street
745 N Highland Avenue
Five St Francis Way
Cranberry Township, PA 16066
4401 Haverford Avenue
Phila, PA 19104
Phila, PA 19116
3339 Mc Clure Avenue
500 Wittenberg Way Bx928
Mars, PA 16046
1182 Holland Road
Holland, PA 18966
250 College Avenue
Lancaster, PA 17603
215 N 12th Street
Reading, PA 19603
5234 Penn Avenue
110 W Wissahickon Avenue
Flourtown, PA 19031
1711 E Broad Street
Hazleton, PA 18201
1000 Stacie Drive
Hazleton, PA 18201
801 Ostrum Street
Bethlehem, PA 18015
801 Ostrum Street
5360 Saltsburg Road
Verona, PA 15147
Langhorne Newtown Road
Langhorne, PA 19047
St Marys Villa Road
Elmhurst, PA 18416
607 East 26th Street
Erie, PA 16504
701 Lansdale Avenue
Lansdale, PA 19446
339 East Jamestown Road
Greenville, PA 16125
6300 Greene Street
Phila, PA 19144
37
Appendix
Section 14
STATE COLLEGE MANOR LTD
SUNBURY COMMUNITY HOSP-SNF
ALPHANUMERIC: SU395317
STATESMAN HEALTH AND REHAB CENTER
SUNNYVIEW HOME
STENTON HALL NURSING CONV HM
SUSQUE VIEW HOME INC
STEPHEN SMITH HOME FOR THE AGED
SUSQUEHANNA CENTER
STONERIDGE VILLAGE
SUSQUEHANNA LUTHERN VILLAGE
STROUD MANOR
SWAIM HEALTH CENTER
ALPHANUMERIC: SW395375
SUBURBAN GENERAL HOSPITAL
SWEDEN VALLEY MANOR
ALPHANUMERIC: SW395699
SUBURBAN WOODS HEALTH AND REHAB
CENTER
SYCAMORE CREEK NSG CENTER
ALPHANUMERIC: SY304381
450 Waupelani Drive
2629 Trenton Road
Levittown, PA 19056
7310 Stenton Avenue
Phila, PA 19150
4400 W Girard Avenue
Phila, PA 19104
440 East Lincoln Avenue
Myerstown, PA 17067
221 East Brown Street
E Stroudsburg, PA 18301
100 South Jackson Avenue
2751 Dekalb Pike
SUGAR CREEK REST
RD 2 Box 80
Worthington, PA 16262
SUGAR CREEK STATION
RD 3 Box 29
Franklin, PA 16323
SUMMIT HEALTH CARE CENTER
50 N Pennsylvania Avenue
SUNBURY COMMUNITY HOSPITAL
350 N 11th Street
Sunbury, PA 17801
350 N 11th Street
Sunbury, PA 17801
107 Sunnview Circle
Butler, PA 16001
22 Cree Drive
1909 N Front Street
990 Medical Road
Millersburg, PA 17061
Green Ridge Village Big Spring
Newville, PA 17241
1028 East Second Street
234 Coraopolis Road
Coraopolis, PA 15108
SYCAMORE MANOR NURSING HOME
ALPHANUMERIC: SY395379
1445 Sycamore Road
Montoursville, PA 17754
TANDEM HEALTH CARE OF CHESWICK
ALPHANUMERIC: TA391178
3876 Saxonburg Boulevard
Cheswick, PA 15024
TANDEM HEALTH CARE OF CHESWICK
3876 Saxonburg Boulevard
Cheswick, PA 15024
TAYLOR HOSPITAL
175 E Chester Pike
Ridley Park, PA 19078
TAYLOR NSG REHAB CENTER
500 W Hospital Street
Taylor, PA 18517
38
Appendix
Section 14
TEL HAI NURSING CENTER
ALPHANUMERIC: TE395562
THE MERCY HOSPITAL OF PITTSBURGH
ALPHANUMERIC: TH390028
TEMPLE CONTINUING CARE CENTER
THE MERCY HOSPITAL OF PITTSBURGH SKILLED NURSI
1200 Tel Hai Circle
Honey Brook, PA 19344
5301 Old York Road
TEMPLE UNIVERSITY HOSPITAL
3401 N Broad Street
Phila, PA 19140
THE ANGELUS CONVALESCENT CENTER
200 Amber Street
THE CEDARS OF MONROEVILLE
4363 Northern Pike
THE CHILDRENS HOME OF PITTSBURGH
5618 Kentucky Avenue
THE GLEN AT WILLOW
675 Willow Valley
Lancaster, PA 17602
THE GLEN AT WILLOW VALLEY
675 Willow Valley Square
Lancaster, PA 17602
THE HERITAGE SHADYSIDE
5701 Phillips Avenue
THE HIGHLANDS
East Main Street
Laporte, PA 18626
THE LUTHERAN HOME HOLIDAYSBURG PA
915 Hickory Street
THE MEDICAL CENTER BEAVER
1000 Dutch Ridge Road
Beaver, PA 15009
1400 Locust Street
1400 Locust Street
THE MIDDLETOWN HOME
999 West Harrisburg Pike
Middletown, PA 17057
THE PRESBYTERIAN HOME OF
HOLLIDAYSBURG
220 Newry Street
THE PRESBYTERIAN HOME OF MOSHANNON
VALL
P0 Box 551
THE SHADYSIDE NSRG REHAB CENTER
5609 Fifth Avenue
THE UNIONTOWN HOSPITAL
500 Wberkeley Street
Uniontown, PA 15401
THE WASHINGTON HOSPITAL
155 Wilson Avenue
THE WESTERN PENNSYLVANIA HOSPITAL
4800 Friendship Avenue
THE WILKINS HOUSE
909 West Street
THE WOODWELL
306 Penn Avenue
THOMAS JEFFERSON UNIVERSITY HOSPITAL I
201 South 11th Street
39
Appendix
Section 14
THOMAS JEFFERSON UNIVERSITY HOSPITAL
INC
Ford Road Campus
3905 Ford Road
Phila, PA 19131
THORNWALD HOME
Carlisle, PA 17013
TITUSVILLE HOSPITAL
ALPHANUMERIC: TI390122
406 W Oak Street
Titusville, PA 16354
TLH TRANSITIONAL CARE CENTER
ALPHANUMERIC: TL306820
Po Box 8500 6680
TORRANCE STATE
ALPHANUMERIC: TO394026
Torrance Road
Torrance, PA 15779
TOWNE MANOR EAST
205 E Johnson Highway
TOWNE MANOR EAST
2004 Old Arch Road
TOWNE MANOR WEST NURSING AND REHAB
CENTER
205 E Johnson Highway
TOWNSHIP MANOR HEALTH AND REHAB
CENTER
TRANSITIONAL CARE COMMUNITY GENERAL
HOSPITAL
ALPHANUMERIC: TR395748
145 N Sixth Street
Reading, PA 19601
TREMONT NURSING CENTER
44 Donaldson Road
Tremont, PA 17981
TUCKER HOUSE
ALPHANUMERIC: TU395461
1001 Wallace Street
Phila, PA 19123
TWINBROOK MEDICAL CENTER
ALPHANUMERIC: TW395041
3805 Field Street
Erie, PA 16511
TWINING VILLAGE
ALPHANUMERIC: TW395432
280 Middle Holland Road
Holland, PA 18966
TYLER MEMORIAL HOSPITAL
ALPHANUMERIC: TY390192
Rte 6 R D 1
Tunkhannock, PA 18657
TYRONE HOSPITAL
ALPHANUMERIC: TY390152
One Hospital Drive
Tyrone, PA 16686
UNION CITY MEMORIAL HOSPITAL
ALPHANUMERIC: UN390040
130 North Main Street
Union City, PA 16438
UNITARIAN UNIVERSALIST HOUSE
224 W Tulpehocken Street
Phila, PA 19144
UNITED CHRISTIAN CHURCH HOME
520 North Route 934
Annville, PA 17003
UNITED COMMUNITY HOSPITAL
631 N Broad Street Extension
UNITED COMMUNITY TCC
631 N Broad Street Extension
UNITED PRESP HM OF HUN
Presquisle and Second Sts
UNITED ZION RETIREMENT COMMUNITY
722 Furnace Hill Pike
Lititz, PA 17543
TROY COMMUNITY HOSPITAL
100 John Street
Troy, PA 16947
40
Appendix
Section 14
UNIVERSAL COMMUNITY BEHVRL HEALTH
UPMC PRESBYTERIAN
ALPHANUMERIC: UP390164
UNIVERSITY HOSPITAL REHAB CENTER FOR
UPMC REHABILITATION HOSPITAL
132 The Meadows Drive
Centre Hall, PA 16828
Children and Adults
N Market Street
UNIVERSITY MEDICAL CENTER
739 S Broad Street
Phila, PA 19147
UNIVERSITY PARK NURSING CENTER
450 Waupelani Drive
UPMC BEAVER VALLEY
2500 Hospital Drive
Aliquippa, PA 15001
UPMC BEAVER VALLEY SKILLED NURSING
FACILITY
2500 Hospital Drive
Aliquippa, PA 15001
UPMC BEDFORD MEMORIAL
10455 Lincoln Highway
Everett, PA 15537
UPMC BRADDOCK
412 Holland Avenue
Braddock, PA 15104
UPMC HORIZON SHENANGO VALLEY CAMPUS
110 North Main Street
UPMC LEE HOSPITAL
320 Main Street
Johnstown, PA 15901
UPMC MCKEESPORT HOSPITAL
1500 Fifth Avenue
UPMC PASSAVANT HOSPITAL
9100 Babcock Boulevard
Desoto and Ohara Street
1405 Shady Avenue
UPMC SHADYSIDE
5230 Centre Avenue
UPMC SOUTH SIDE
2000 Mary Street
UPMC ST MARGARET
815 Freeport Road
VA MEDICAL CENTER PHILA
ALPHANUMERIC: VA302704
University and Woodland Avenue
Phila, PA 19104
VA MEDICAL CENTER PITTSBURGH HIGHLAND
Highland Dr
VA MEDICAL CENTER-COATESVILLE
1400 Blackhorse Hill Road
VA MEDICAL CENTER-LEBANON
1700 S Lincoln Avenue
Lebanon, PA 17042
VA PHILADELPHIA SKILLED NURSING
FACILITY
1901 Market Street
Phila, PA 19103
VALENCIA WOODS NRSG CENTER
85 Charity Place
Valencia, PA 16059
VALLEY CARE NURSING HOME
1190 Merriman Road
Sewickley, PA 15143
41
Appendix
Section 14
VALLEY CREST NURSING HM
VILLAGE VISTA SKLD NRSG FACILITY
ALPHANUMERIC: VI395668
VALLEY FORGE MEDICAL CENTER AND
HOSPITAL
VINCENTIAN HOME
1551 E End Boulevard
1033 W Germantown Pike
VALLEY MANOR NRSG AND REHAB CENTER
7650 Route 309
Coopersburg, PA 18036
VALLEY VIEW HAVEN
4702 East Main Street
Belleville, PA 17004
VALLEY VIEW HOME
301 Valley View Home
Altoona, PA 16602
1941 Benmar Drive Bx4101
Lancaster, PA 17603
Perrymont Rd
WALLINGFORD NSG REHAB CENTER
ALPHANUMERIC: WA395685
115 S Providence Road
Wallingford, PA 19086
WALLINGFORD NURSING AND REHAB CENTER
115 S Providence Road
Wallingford, PA 19086
WARE PRESBYTERIAN VILLAGE
7 E Locust Street
Oxford, PA 19363
VALLEY VIEW NURSING CENTER
WARMINSTER GENERAL HOSPITAL SKILLED
NURSING FACI
VALLEY VIEW RETIREMENT COMMUNITY
WARREN GENERAL HOSPITAL
VENANGO MANOR
ALPHANUMERIC: VE305724
WARREN MANOR
VETERANS ADMIN MEDICAL CENTER
WARREN STATE HOSPITAL
2140 Warrensville Road
Montoursville, PA 17754
4702 East Main Street
Belleville, PA 17004
RR 3 Box 29
Franklin, PA 16323
325 New Castle Road
Butler, PA 16001
VETERANS ADMIN MEDICAL CENTER
University Drive C
VETERANS AFFAIRS MEDICAL CENTER
SKILLED NURSING
225 Newtown Road
Two Crescent Park West
Warren, PA 16365
682 Pleasant Drive
Warren, PA 16365
33 Main Drive
North Warren, PA 16365
WARREN STATE HOSPITAL LONG TERM CARE
33 Main Drive
N Warren, PA 16365
WASHINGTON COUNTY HEALTH CENTER
University Woodland Avenue
Phila, PA 19104
36 Old Hickory Ridge Road
VILLA TERESA NURSING HM
WAVERLY HEIGHTS
1051 Avila Road
1400 Waverly Road
Gladwyne, PA 19035
42
Appendix
Section 14
WAVERLY HEIGHTS
1400 Waverly Road Bx179
Gladwyne, PA 19035
WAYNE CENTER
30 West Avenue
Wayne, PA 19087
WAYNE MEMORIAL HOSPITAL
Park West Sts
Honesdale, PA 18431
WAYNE WOODLANDS MANOR
295 South Street
Waymart, PA 18472
WAYNESBORO HOSPITAL
501 E Main Street
Waynesboro, PA 17268
WERNERSVILLE STATE HOSPITAL
ALPHANUMERIC: WE394014
Sportsman Rd Route 422
WESBURY UNITED METHODIST COMMUNITY
31 North Park Avenue
Meadville, PA 16335
WESLEY MANOR HEALTH CARE CENTER
Route 422 E R D 1
WESLEY VILLAGE
209 Roberts Road
Pittston, PA 18640
WEST HAVEN NURSING HOME
Box 278
Apollo, PA 15613
WEST SHORE HEALTH AND REHAB CENTER
770 Poplar Church Road
Camp Hill, PA 17011
WEST VIEW NURSING HOME
900 Porter Avenue Po Bo
Scottdale, PA 15683
WESTMINSTER VILLAGE
WESTMINSTER WOODS
360 Westminster Drive
WESTMORELAND MANOR
2480 S Grande Boulevard
WESTMORELAND REGIONAL HOSPITAL
532 West Pittsburgh Street
WEXFORD HOUSE NURSING CENTER
9850 Old Perry Hwyrd1
Wexford, PA 15090
WHITE BILLET NURSING HOME
ALPHANUMERIC: WH305679
412 S York Road
Hatboro, PA 19040
WHITE CLIFF NURSING HOME
ALPHANUMERIC: WH301405
110 Fredonia Road
WIGHTMAN CTR-NSRG REHAB
ALPHANUMERIC: WI395028
2025 Wightman Street
WILKES BARRE GENERAL HOSPITAL
575 N River Street
WILLIAM PENN NURSING CENTER
163 Summit Drive Box 787
Lewistown, PA 17044
WILLIAMSPORT HOME
1900 Ravine Road
WILLIAMSPORT HOSPITAL
777 Rural Avenue
WILLIS NURSING CENTER
1800 West Street
Homestead, PA 15120
803 N Wahneta Street
Allentown, PA 18103
43
Appendix
Section 14
WILLOW RIDGE NURSINGAND REHAB
WYOMISSING LODGE
ALPHANUMERIC: WY395237
WILLOW TERRACE
YORK COUNTY NURSING HOME
ALPHANUMERIC: YO395290
WILLOWCREST-BAMBERGER DIVISION A
EINSTEIN MC
YORK HOSPITAL
3485 Davisville Road
Hatboro, PA 19040
1 Penn Boulevard
York and Tabor Roads
Phila, PA 19141
WILLS EYE HOSPITAL
Ninth and Walnut Sts
Phila, PA 19107
WINDBER HOSPITAL
600 Somerset Avenue
Windber, PA 15963
WOOD RIVER VILLAGE NURSING CENTER
ALPHANUMERIC: WO395806
3200 Bensalem Boulevard
Bensalem, PA 19020
1000 E Wyomissing Boulevard
Reading, PA 19611
118 Pleasant Acres Road
York, PA 17402
1001 S George Street
York, PA 17405
YORK TERRACE NURSING CONVALESCENT
24th and W Market Street
ZERBE SISTERS NURSING CENTER
ALPHANUMERIC: ZE395326
2499 Zerbe Road
Narvon, PA 17555
ZOHLMAN NURSING HOME
ALPHANUMERIC: ZO395023
108 S Main Street
Richlandtown, PA 18955
WOODHAVEN CARE CENTER
2400 McGinley Road
WOODLAND CENTER FOR NURSING
780 Woodland Avenue
Lewisberry, PA 17339
WOODLAND RETIREMENT CENTER
Po Box 280
Orbisonia, PA 17243
WORKMANS CIRCLE HOME
Third and Jackson
Media, PA 19063
WVHCS HOSPITAL INC
ALPHANUMERIC: WV390137
562 Wyoming Avenue
Kingston, PA 18704
WYNCOTE CHURCH HOME
ALPHANUMERIC: WY395218
Maple and Fernbrook Aves
Wyncote, PA 19095
44
Appendix
Section 14
Typical covered services
The following services are commonly covered under Pennsylvania Blue Shield medical-surgical programs.
Some contracts may expand on these (for example, office visits, preventive services), while others may have
fewer or more limited benefits. Payment of claims is based on the terms and conditions of the member’s
specific contract in effect at the time services are provided.
For details about your patient’s coverage, call OASIS at (800) 462-7474 or (717) 975-6800. If you submit
claims electronically, access CareConnect for this information. For more information about CareConnect,
please go to www.careconnect.com or call Highmark EDI Services at (800) 992-0246.
Surgery including inpatient preoperative care and normal postoperative care for the treatment of disease or
injury.
Transplant surgery including services performed for the removal of an organ from a donor when the donor is
not covered by another health plan.
Oral surgery for the removal of impacted teeth covered by bone.
Assistant surgery when Blue Shield determines the condition of the patient or the type of surgery warrants
the assistance of another professional provider.
Second surgical opinion consultations to determine the medical necessity of elective surgery. A third opinion
is eligible in cases where the second opinion differs from the first recommendation.
Anesthesia for covered services when administered by a professional provider other than the surgeon,
assistant surgeon or the professional provider actually performing the service. Local infiltration of anesthesia
is not covered.
Maternity services including normal prenatal and postpartum care.
Routine newborn care for an infant during the mother’s confinement in a hospital or birthing center.
Inpatient medical care for up to 120 days for each period of hospitalization. At least 90 consecutive days
must elapse between discharge and subsequent admission for an inpatient stay to be considered a new period
of hospitalization.
Concurrent care by a professional provider who is not in charge of the case, but whose particular skills are
required.
Inpatient consultations by other than the provider in charge of the case, when the patient’s condition warrants
it and the provider in charge requests it. Payment can be made for only one consultation by each consultant per
admission.
Skilled nursing care when the patient’s illness requires at least three days of hospitalization, medical care for
continued treatment and admission to a skilled nursing facility within 14 days after discharge from a hospital.
These services are limited to two visits the first week and one visit each week thereafter. Each day in a skilled
nursing facility will count as one-half day against available inpatient medical care days.
Psychiatric care for treatment of mental or nervous disease, drug addiction and/or alcoholism. Benefits are
limited to 30 inpatient days per 12-month period.
45
Appendix
Section 14
Convulsive therapy including anesthesia for shock therapy.
Emergency accident care for an accidental injury if attended to within 72 hours of the accident.
Emergency medical care within 72 hours of a medical emergency.
Diagnostic services:
X-ray, radiology, ultrasound and nuclear medicine;
Laboratory and pathology tests performed, billed for or ordered by a professional provider;
ECG, EEG and other diagnostic medical procedures approved by Blue Shield;
Allergy testing.
Therapy services:
Radiation therapy;
Chemotherapy, including the administration and cost of drugs approved by the Food and Drug
Administration (FDA) as antineoplastic agents;
Dialysis treatments;
Physical therapy for an inpatient.
Preventive benefits:
Routine mammography (One screening mammography per calendar year is covered for women
40 years of age or older. For women under 40, all physician-recommended mammographies are
covered.);
Pediatric immunizations;
Annual routine gynecological examination and routine Papanicolaou test for all females.
Typical exclusions
These exclusions are commonly found in members’ agreements. Some contracts may expand on these, while
others may cover some of these services, supplies or charges. Payment of claims is based on the terms and
conditions of the member’s specific contract in effect at the time services are provided.
Except as specified in the Agreement, no benefits will be provided for services, supplies or charges:
1. Rendered by someone other than professional providers;
2. For any illness or bodily injury that occurs in the course of employment if benefits or compensation are
available, in whole or in part, under the provisions of any legislation of any government unit. This
exclusion applies whether or not the member claims the benefits or compensation;
3. To the extent benefits are provided by the Veteran’s Administration or the Department of Defense for
active military personnel;
4. For any illness or injury suffered after the member’s effective date as a result of an act of war;
5. For payment made under Medicare when Medicare is primary or would have been made if the member
had enrolled for Medicare and claimed Medicare benefits; however, this exclusion shall not apply when
the group is obligated by law to offer the member all the benefits of this contract and the member so
elects this coverage as primary;
6. For which a member would have no legal obligation to pay in the absence of this or any similar coverage;
46
Appendix
Section 14
7. For preoperative care when the member is not an inpatient and any postoperative care other than that
normally provided following operative or cutting procedures;
8. Which are experimental or investigative in nature;
9. Which Blue Shield has determined to be not medically necessary or for screening examinations, and
routine or periodic physical examinations;
10. Directly related to the care, filling, removal or replacement of teeth, the treatment of injuries to or
diseases of the teeth, gums or structures directly supporting or attached to the teeth. These include, but
are not limited to, apicoectomy (dental root resection), root canal treatments, soft tissue impactions,
alveolectomy and treatment of periodontal disease;
11. For treatment of temporomandibular joint syndrome with intra-oral devices or any other method to alter
vertical dimension;
12. For operations for cosmetic purposes except those performed to correct a condition resulting from an
accident that occurs while the member is covered by Blue Shield. The member must be enrolled without
interruption from the date of the accident to the date of the operation in order to be eligible for
cosmetic surgery;
13. For palliative or cosmetic foot care including flat foot conditions, supportive devices for the foot,
the treatment of subluxations of the foot, care of corns, bunions (except capsular or bone surgery),
calluses, toe nail (except surgery for ingrown nails), fallen arches, weak feet, chronic foot strain
and symptomatic complaints of the feet;
14. Performed in a facility by a professional provider who in any case is compensated by the facility
for similar services performed for patients;
15. Received from a dental or medical department maintained by or on behalf of an employer, a
mutual benefit association, labor union, trust or similar person or group;
16. For which the fees or charges are billed by hospitals or other facilities;
17. Performed by a professional provider enrolled in an education or training program when such
services are related to the education or training program;
18. For personal hygiene and convenience items such as, but not limited to, air conditioners,
humidifiers or physical fitness equipment, whether or not recommended by a professional
provider;
19. For telephone consultations, charges for failure to keep a scheduled appointment or charges for
completion of a claim form;
20. For custodial care, domiciliary care or rest cures;
21. For the detection and correction by manual or mechanical means of structural imbalance or subluxation
resulting from or related to distortion, misalignment or subluxation of or in the vertebral column;
22. For hearing aids or examination for the prescription or fitting of hearing aids;
23. For eyeglasses or contact lenses and the vision examination for prescribing or fitting eyeglasses or
contact lenses, including related diagnostic tests such as, but not limited to, visual fields testing;
24. For outpatient prescription drugs;
25. For equipment costs related to services performed on high cost technological equipment as defined by
Blue Shield, such as, but not limited to, computed tomography (CT) scanners, magnetic resonance
imagers (MRI) and extracorporeal shock wave lithotripters, unless the acquisition of such equipment by a
professional provider was approved through the Certificate of Need (CON) process and/or Blue Shield;
26. For clinical pathology services for which a hospital or other facility bills;
47
Appendix
Section 14
27. Incurred prior to the member’s effective date;
28. For treatment in connection with sexual dysfunction not related to organic disease, transsexual surgery,
artificial insemination and for assisted fertilization techniques such as, but not limited to, in-vitro
fertilization (IVF), gamete intra-fallopian transfer (GIFT), and zygote intra-fallopian transfer (ZIFT);
29. For correction of myopia or hyperopia by means of corneal microsurgery such as keratomileusis,
keratophaki and radial keratotomy, and all related services;
30. For treatment of obesity, except for surgical treatment of morbid obesity when weight is at least twice the
ideal weight specified for frame, age, height and sex;
31. Which are paid, or payable, in whole or in part, by a Blue Cross Plan;
32. Treatment or services for injuries resulting from the maintenance or use of a motor vehicle if such
treatment or service is paid under a plan or policy of motor vehicle insurance, including a certified selfinsured plan, or payable in any manner under the Pennsylvania Motor Vehicle Financial Responsibility
Law;
33. Which are submitted by a certified registered nurse and another professional provider for the same
services performed on the same date for the same patient;
34. For routine neonatal circumcision;
35. Which were or are incurred after the date of termination of the member’s coverage except as provided in
the Agreement;
36. For any other medical or dental service or treatment except as provided in the Agreement.
48
Appendix
Section 14
Sample Pennsylvania Blue Shield Identification Cards
Access Care II PPO
CustomBlue PPO
CustomBlue????
HealthStyle, Hershey Foods Corporation
49
Appendix
Section 14
Capital Blue Cross, Pennsylvania Blue Shield Point of Service
Traditional Blue Cross Blue Shield
50
Appendix
Section 14
Sample Highmark Blue Cross Blue Shield Identification Cards
CommunityBlue HMO
CommunityBlue Point of Service
KeystoneBlue HMO
51
Appendix
Section 14
PreferredBlue PPO
SecurityBlue HMO
SelectBlue Point of Service
52

Appendix - Highmark Blue Shield

Transcription

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