INTERCOMMUNITY ACTION, INC. (NPI# 1023238128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023238128 |
| Entity Type | Organization |
| Organization Name | INTERCOMMUNITY ACTION, INC. |
| Practice Address |
3717 Manayunk Ave Philadelphia PA 19128-3704 |
| Mailing Address |
6012 Ridge Ave Philadelphia PA 19128-1643 |
| Practice Telephone | 2154871598 |
| Mailing Telephone | 2154870906 |
| Mailing Fax Number | 2154873716 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DAVID BOLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2154870906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000008360067 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700209095 | Intercommunity Action, Inc. | Community/Behavioral Health | 67 E Bringhurst St, John Wister Elementary School, Philadelphia, PA 19144-2338 | 2014-01-23 |
| 1033541818 | Intercommunity Action, Inc. | Community/Behavioral Health | 6100 Stenton Ave, Philadelphia, PA 19138-1625 | 2013-08-05 |
| 1134341704 | Intercommunity Action, Inc. | Community/Behavioral Health | 339 Gates St, Philadelphia, PA 19128-4618 | 2007-05-03 |
| 1568682623 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 6710 Ridge Ave, Philadelphia, PA 19128-2430 | 2007-04-30 |
| 1407075245 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 2405 N 54th St, Philadelphia, PA 19131-2423 | 2007-04-24 |
| 1124162201 | Intercommunity Action, Inc. | Community/Behavioral Health | 481 Krams Ave, Philadelphia, PA 19128-3311 | 2007-02-20 |
| 1578188611 | Intercommunity Action, Inc. | Community/Behavioral Health | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2020-06-15 |
| 1992353197 | Intercommunity Action, Inc. | Clinic/Center | 4030 Brown St, Philadelphia, PA 19104-4844 | 2019-08-30 |
| 1518136829 | Intercommunity Action, Inc. | Community/Behavioral Health | 6012 Ridge Ave, Philadelphia, PA 19128 | 2008-02-21 |
| 1932234416 | Intercommunity Action, Inc. | Case Management | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2007-02-23 |
| Street Address |
3717 MANAYUNK AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336531508 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 8538 Frankford Ave, Philadelphia, PA 19136-2032 | 2015-02-25 |
| 1558569558 | Comhar Inc | Intermediate Care Facility, Mentally Retarded | 129 W Allegheny Ave, Philadelphia, PA 19133-3916 | 2007-07-11 |
| 1568682623 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 6710 Ridge Ave, Philadelphia, PA 19128-2430 | 2007-04-30 |
| 1407075245 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 2405 N 54th St, Philadelphia, PA 19131-2423 | 2007-04-24 |
| 1114141769 | Overbrook Friedlander Programs | Intermediate Care Facility, Mentally Retarded | 1900 Wynnewood Rd, Philadelphia, PA 19151-2535 | 2007-04-13 |
| 1790908853 | Merakey Woodhaven | Intermediate Care Facility, Mentally Retarded | 2900 Southampton Rd, Philadelphia, PA 19154-1202 | 2007-04-10 |
| 1174644488 | Merakey Philadelphia | Intermediate Care Facility, Mentally Retarded | 2016 Robbins Ave, Philadelphia, PA 19149-2921 | 2007-04-03 |
| 1972624393 | Merakey Philadelphia | Intermediate Care Facility, Mentally Retarded | 6915 Germantown Ave, Philadelphia, PA 19119-2115 | 2007-04-03 |
| 1033244454 | Kencrest Services | Intermediate Care Facility, Mentally Retarded | 1 Waterman Ave, Philadelphia, PA 19118-3625 | 2007-02-23 |
| 1669507182 | Kencrest Services | Intermediate Care Facility, Mentally Retarded | 6341 Ridge Ave, Philadelphia, PA 19128-2527 | 2007-02-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
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| 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.