FOREVER CARE SUPPORTS COORDINATION LLC (NPI# 1043773633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043773633 |
| Entity Type | Organization |
| Organization Name | FOREVER CARE SUPPORTS COORDINATION LLC |
| Practice Address |
1706 N 2nd St # R5 Philadelphia PA 19122-3110 |
| Mailing Address |
232 Bartlett Ave Sharon Hill PA 19079-1304 |
| Practice Telephone | 2673402556 |
| Mailing Telephone | 2673402556 |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | MR. TODD UNTHANK-MAY JR. (OWNER) |
| Authorized Official Telephone | 2673402556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 30811614 | 05 |
| Other Name | Type Code |
|---|---|
| N/A | Other Name - Individual/Organization |
| Street Address |
1706 N 2ND ST # R5 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
| 1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
| 1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
| 1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| 1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
| 1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
| 1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
| 1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
| 1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
| Find all providers in zip 19122 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250546 | Lindsay Margarida Stiem | Case Manager/Care Coordinator | 3600 Market St Fl 6, Philadelphia, PA 19104-2669 | 2020-09-22 |
| 1023633872 | Raenita Janay Robinson | Case Manager/Care Coordinator | 3600 Market St # 6thf, Philadelphia, PA 19104-3284 | 2020-06-08 |
| 1124656467 | Desiree Driver | Case Manager/Care Coordinator | 2417 Welsh Rd Ste 209, Philadelphia, PA 19114-2211 | 2020-03-31 |
| 1497399323 | Deborah Calvert | Case Manager/Care Coordinator | 3550 Market St Fl 5, Philadelphia, PA 19104-3364 | 2019-11-04 |
| 1386298230 | Danielle Rose | Case Manager/Care Coordinator | 9586 James St # B, Philadelphia, PA 19114-3059 | 2019-07-30 |
| 1619521077 | Guiding Hands Support Coordination Services | Case Manager/Care Coordinator | 3538 Drumore Dr, Philadelphia, PA 19154-3912 | 2019-07-24 |
| 1285296806 | Rokyatou Sylla | Case Manager/Care Coordinator | 3019 S 68th St, Philadelphia, PA 19142-3321 | 2019-07-03 |
| 1578129516 | Peace and Serenity Support Services LLC | Case Manager/Care Coordinator | 4700 City Ave Apt 10305, Philadelphia, PA 19131-1572 | 2019-05-15 |
| 1750843462 | Sherri Lewis | Case Manager/Care Coordinator | 624 S Yewdall St, Philadelphia, PA 19143-2522 | 2019-04-02 |
| 1184181638 | Rafiah Williams | Case Manager/Care Coordinator | 2712b W York St, Philadelphia, PA 19132-3511 | 2019-02-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19122 |
Please comment or provide details below to improve the information on FOREVER CARE SUPPORTS COORDINATION LLC.
| 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.