1R
10400 ROOSEVELT OPERATING, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
PHILADELPHIA, PA
Licensed since
2014
Rate
—
Federal identifiers
NPI registry number1659789949
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameCHARLES-EDOUARD GROS
TitleMANAGER
Phone6106985619
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Source: NPI Registry · Last refreshed June 24, 2026