TYRONE C WELLS (NPI# 1043653595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043653595 |
| Entity Type | Individual |
| Full Name | TYRONE C WELLS |
| Practice Address |
2250 Hickory Rd Plymouth Meeting PA 19462-1047 |
| Practice Telephone | 6108341122 |
| Mailing Telephone | 6108341122 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
2250 HICKORY RD |
| City | PLYMOUTH MEETING |
| State | PA |
| Zip Code | 19462-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588714570 | Shameka Teanea Brown | Registered Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2007-01-11 |
| 1215586946 | Heather M Hohl | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2019-09-05 |
| 1366009979 | Adrian T Nelson | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2019-05-20 |
| 1104391036 | Jasmin Todman | Registered Nurse | 2250 Hickory Rd, Ste 240, Plymouth Meeting, PA 19462-2225 | 2018-10-08 |
| 1174006308 | Katherine Lockley | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2018-09-13 |
| 1831605922 | Mitche Aridou | Registered Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2017-12-27 |
| 1962926162 | Derrick B Kirima | Physical Therapy Assistant | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2017-07-29 |
| 1093242133 | Helen Virgo Clarke | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2017-05-19 |
| 1457892416 | Thomas Nauman | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2017-03-10 |
| 1275073413 | Keyanah D West | Speech-Language Pathologist | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2017-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284192 | Nicole Marie Oconnor Probst | Registered Nurse | 824 Belvoir Road, Plymouth Meeting, PA 19462 | 2017-09-14 |
| 1699299404 | Access Services Inc | Community/Behavioral Health | 4070 Butler Pike Ste 900, Plymouth Meeting, PA 19462 | 2017-08-02 |
| 1255869079 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 615 W Germantown Pike Ste 100, Plymouth Meeting, PA 19462 | 2017-05-24 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1770039604 | David Crowe | Specialist/Technologist | 3045 Arrow Head Lane, Plymouth Meeting, PA 19462 | 2016-08-31 |
| 1881054724 | Urology Health Specialists | Non-Pharmacy Dispensing Site | 400 Davis Road, Suite 200a, Plymouth Meeting, PA 19462 | 2016-03-04 |
| 1578947289 | Amanda Coleen Hassey | Optometrist | 615 W Germantown Pike # 100, Plymouth Meeting, PA 19462 | 2015-07-13 |
| 1902204837 | Janelle Thelma Mcclure | Licensed Practical Nurse | 3113 Jolly Rd., Plymouth Meeting, PA 19462 | 2014-12-09 |
| 1417241860 | Nia Murray | Counselor | 523 Plymouth Rd., Suite215, Plymouthmeeting, PA 19462 | 2011-06-02 |
| 1831496868 | Pamela Faye Knappenberger | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 | 2011-02-28 |
| Find all providers in zip 19462 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316076425 | Resources for Human Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1702 Gallagher Rd, Plymouth Meeting, PA 19462-2810 | 2007-03-05 |
| 1124156799 | Resources for Human Development | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1057 Belvoir Rd, Main House, Plymouth Meeting, PA 19462-2826 | 2007-03-02 |
| 1245661396 | Cartoune Romulus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2250 Hickory Rd Ste 240, Plymouth Meeting, PA 19462-2225 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940183 | Kenccid | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 | 2020-10-22 |
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1598375305 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 3003, Berwyn, PA 19312-2410 | 2020-08-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1437775442 | The Arc of Crawford County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 222 Chestnut St, Meadville, PA 16335-3407 | 2020-06-25 |
| 1568094142 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1768 Mcdonough Ave, Scranton, PA 18508-1566 | 2020-02-11 |
| 1114559267 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 336 Sheridan Ave, Clarks Summit, PA 18411-1458 | 2020-02-06 |
| 1619507332 | Above & Beyond Berks LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1007 Saylor Dr, Temple, PA 19560-9587 | 2020-01-22 |
| 1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
| 1891331120 | Gifted Hands Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1853 William Penn Way Ste 13, Lancaster, PA 17601-6713 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | PLYMOUTH MEETING |
| Zip Code | 19462 |
Please comment or provide details below to improve the information on TYRONE C WELLS.
| 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.