SOAR CORP (NPI# 1023287711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023287711 |
| Entity Type | Organization |
| Organization Name | SOAR CORP |
| Practice Address |
9150 Marshall St Suite 2 Philadelphia PA 19114 |
| Mailing Address |
9150 Marshall St Ste 18 Philadelphia PA 19114-2217 |
| Practice Telephone | 2154644450 |
| Practice Fax Number | 2154644405 |
| Mailing Telephone | 2154644450 |
| Mailing Fax Number | 2154644405 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | MR. MARK SHVARTSBURD (CEO/PROGRAM SPONSOR) |
| Authorized Official Telephone | 2153226590 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
807405 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1020553790001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700382066 | Soar Corp | Community/Behavioral Health | 655 Louis Dr, Warminster, PA 18974 | 2018-04-04 |
| 1043765621 | Soar Corp | Community/Behavioral Health | 7500 Bristol Pike, Levittown, PA 19057 | 2016-08-24 |
| 1376863043 | Soar Corp | Community/Behavioral Health | 33 Williams St, Lansdowne, PA 19050 | 2010-06-04 |
| Street Address |
9150 MARSHALL ST SUITE 2 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477512689 | Maurice Roth | Otolaryngology | 9150 Marshall St, Suite 4, Philadelphia, PA 19114-2217 | 2006-03-17 |
| 1477938108 | Sound Medical Corporation | Pharmacist | 9150 Marshall St, Philadelphia, PA 19114-2217 | 2015-07-23 |
| 1326488701 | Always Independent, Inc. | Home Health | 9150 Marshall St, Suite 12, Philadelphia, PA 19114-2217 | 2013-06-28 |
| 1538428495 | Rescue Pro,inc | Ambulance | 9150 Marshall St, Ste 7, Philadelphia, PA 19114-2217 | 2012-05-14 |
| 1750570834 | Front Line Ambulance Inc | Ambulance | 9150 Marshall St, Suite 7, Philadelphia, PA 19114-2217 | 2007-10-15 |
| 1497958938 | Roth Ear, Nose & Throat Associates PC | Specialist | 9150 Marshall St, Suite 4, Philadelphia, PA 19114-2217 | 2007-06-11 |
| 1194813444 | A & M Super Nova PC | Obstetrics & Gynecology | 9150 Marshall St, Suite 18, Philadelphia, PA 19114-2217 | 2006-10-11 |
| 1568559714 | Mednet Healthcare Systems Inc. | Clinic/Center | 9150 Marshall St, Philadelphia, PA 19114-2217 | 2006-10-09 |
| 1740385814 | Northeast Aqua and Physical Therapy Center Inc | Internal Medicine | 9150 Marshall St, Suite 9, Philadelphia, PA 19114-2217 | 2006-09-14 |
| 1134222474 | Orthopedic Supply Inc | Durable Medical Equipment & Medical Supplies | 9150 Marshall St, Suite 7, Philadelphia, PA 19114-2217 | 2006-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851745566 | Kensington Hospital Outpatient Treatment Program | Clinic/Center | 2100 N Front St, Philadelphia, PA 19122-1705 | 2016-04-19 |
| 1184016651 | Thw Group LLC | Clinic/Center | 7900 Frankford Ave, Philadelphia, PA 19136-3041 | 2015-02-20 |
| 1487796249 | Jewish Employment & Vocational Services | Clinic/Center | 5820 Old York Rd, Philadelphia, PA 19141-2506 | 2007-02-12 |
| 1356860050 | Merakey Recovery Services | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| 1336302017 | Kensington Hospital- Intensive Outpatient Program | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2008-07-03 |
| 1962680751 | Northeast Treatment Centers. Inc. | Clinic/Center | 499 N 5th St, Suite D-e, Philadelphia, PA 19123-4005 | 2008-02-05 |
| 1336350966 | North Philadelphia Health System | Clinic/Center | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-05-25 |
| 1992824312 | Thomas Jefferson University | Clinic/Center | 1233 Locust St, Suite 201, Philadelphia, PA 19107-5453 | 2007-03-28 |
| 1669599973 | West Philadelphia Community Mh Consortium Inc. | Clinic/Center | 451 S University Ave, Philadelphia, PA 19104-4544 | 2007-03-23 |
| 1922156314 | Kensington Hospital Outpatient Treatment Program | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2007-01-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
Please comment or provide details below to improve the information on SOAR CORP.
| 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.