AISHAH HOLMAN


Address: 221 Jacoby St, Norristown, PA 19401-4040
Phone: 2676908131

AISHAH HOLMAN (NPI# 1013410224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013410224
Entity Type Individual
Full Name AISHAH HOLMAN
Other Name AISHAH HOLMAN-GROCE
Practice Address 221 Jacoby St
Norristown
PA 19401-4040
Practice Telephone 2676908131
Mailing Telephone 2676908131
Enumeration Date 2018-03-14
Last Update Date 2018-03-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities
Y 322D00000X Residential Treatment Facility, Emotionally Disturbed Children Residential Treatment Facilities
N 385HR2055X Respite Care
Specialization: Respite Care, Mental Illness, Child
Respite Care Facility
N 385HR2060X Respite Care
Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child
Respite Care Facility
N 385HR2065X Respite Care
Specialization: Respite Care, Physical Disabilities, Child
Respite Care Facility
N 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 221 JACOBY ST
City NORRISTOWN
State PA
Zip Code 19401-4040

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Taxonomy Information

Taxonomy Code 322D00000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Emotionally Disturbed Children

Taxonomy Definition

A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment.
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376028860 Woods Services Inc Residential Treatment Facility, Emotionally Disturbed Children 16 Lakeshore Drive, Langhorne, PA 19047-1616 2018-10-01
1861971665 Woods Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 16 Woodlands Drive, Langhorne, PA 19047-1616 2018-08-13
1487133286 Woods Services, Inc. Residential Treatment Facility, Emotionally Disturbed Children 19 Sandalwood Circle, Langhorne, PA 19047-1616 2018-08-13
1821592270 Woods Services Inc Residential Treatment Facility, Emotionally Disturbed Children 357 Roebling Drive, Langhorne, PA 19047-1616 2018-03-21
1184127722 Woods Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 17 Woodlands Drive, Langhorne, PA 19047 2018-03-09
1235632977 Woods Services, Inc Residential Treatment Facility, Emotionally Disturbed Children 84 Buttonwood Drive, Langhorne, PA 19047-0036 2018-03-08
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1295286615 Chor Youth and Family Services Residential Treatment Facility, Emotionally Disturbed Children 1023 Pear Street, Reading, PA 19601 2016-10-20
1639622681 Cosmological LLC Residential Treatment Facility, Emotionally Disturbed Children 5746 N 19th St, Philadelphia, PA 19141-1204 2016-07-26
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Competitor

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City NORRISTOWN
Zip Code 19401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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