EASTERSEALS OF SOUTHEASTERN PENNSYLVANIA


Address: 3975 Conshohocken Ave, Philadelphia, PA 19131-5426
Phone: 2672926012

EASTERSEALS OF SOUTHEASTERN PENNSYLVANIA (NPI# 1073086963) 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) 1073086963
Entity Type Organization
Organization Name EASTERSEALS OF SOUTHEASTERN PENNSYLVANIA
Practice Address 3975 Conshohocken Ave
Philadelphia
PA 19131-5426
Practice Telephone 2672926012
Practice Fax Number 2158798424
Mailing Telephone 2672926012
Mailing Fax Number 2158798424
Enumeration Date 2019-01-03
Last Update Date 2019-01-03
Authorized Official Name MARCY AMARNEK (DATABASE ADMINISTRATOR)
Authorized Official Telephone 2672926012
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 3975 CONSHOHOCKEN AVE
City PHILADELPHIA
State PA
Zip Code 19131-5426

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952444366 Easter Seals of Southeastern Pennsylvania Local Education Agency (LEA) 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 2007-02-15
1730643396 Kristin Kremer Speech-Language Pathologist 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 2019-01-29
1265989669 Julie Goldstein Speech-Language Pathologist 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 2016-09-02
1538552682 Brittany Grady Occupational Therapist 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 2015-03-13
1144643453 Luanne Suplick Speech-Language Pathologist 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 2014-01-23
1225465685 Megan Stabler Occupational Therapist 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 2013-10-01
1730513219 Jeanette Catherine Mangano Physical Therapist 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 2013-09-03
1649618257 Krista Perry Occupational Therapist 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 2013-06-06
1629318522 Bryna Dworetsky Speech-Language Pathologist 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 2013-03-01
1215272877 Donna L Sassaman Occupational Therapist 3975 Conshohocken Ave, Philadelphia, PA 19131-5426 2012-12-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629678925 Jonathan Welch Student in an Organized Health Care Education/Training Program 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 2020-10-27
1659970689 Novacare Outpatient Rehabilitation East, Inc. Clinic/Center 1575 North 25nd Street, Philadelphia, PA 19131 2020-10-21
1821629254 Stephen Osowski Student in an Organized Health Care Education/Training Program 4170 City Avenue, Philadelphia, PA 19131 2020-02-04
1134774888 Arti D Mistry Dentist 1126 Horsham Road, Philadelphia, PW 19131 2019-08-08
1275187221 Grace Bernadette Farrelly Occupational Therapist 2101 Simpson House, Philadelphia, PA 19131 2019-07-29
1235795204 Isd Renal Inc Clinic/Center 4952 Parkside Ave, Philadelphia, PA 19131 2019-05-15
1922502582 Kevin David Wojcik Student in an Organized Health Care Education/Training Program Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 2018-03-20
1235633900 Nadja Hill Home Health 5203 Diamond Street, Philadelphia, PA 19131 2018-03-19
1932623857 Mercy Management of Sepa Social Worker 1575 N 52nd St Ste 800, Philadelphia, PA 19131 2017-08-02
1578092235 Sarah Marie Hoder Specialist/Technologist 4000 Presidential Avenue, Philadlephia, PA 19131 2017-06-07
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417557174 Kensington Hospital Non Hospital Short Term/long Term Rehab Community/Behavioral Health 136 W. Diamond St, Philadelphia, PA 19122-1721 2020-10-30
1922625789 Merakey Philadelphia Community/Behavioral Health 1414 Shelmire Ave, Philadelphia, PA 19111-3314 2020-06-28
1801417456 Detention Management Solutions Community/Behavioral Health 967 Clyde Ln, Philadelphia, PA 19128-1141 2020-05-05
1316579923 Community Council for Mental Health & Mental Retardation Inc. Community/Behavioral Health 1211 Chestnut St Fl 8, Philadelphia, PA 19107-4103 2020-02-11
1083257133 Homes of Humanity, LLC Community/Behavioral Health 47 N 51st St, Philadelphia, PA 19139-2726 2019-10-22
1376196147 Hopeworks Wellness, LLC Community/Behavioral Health 2449 Golf Rd Ste 2, Philadelphia, PA 19131-1475 2019-07-22
1144873126 Wmc Community/Behavioral Health 4243 Frankford Ave, Philadelphia, PA 19124-4520 2019-07-19
1336792316 Wedge Medical Center Community/Behavioral Health 3600 Germantown Ave, Philadelphia, PA 19140-4226 2019-07-19
1619533098 Sankofa Healing Studio Community/Behavioral Health 1415 N Broad St Ste 221c, Philadelphia, PA 19122-3325 2019-05-11
1902369234 Resouces for Human Development, Inc. Community/Behavioral Health 227 E Garrett St, Philadelphia, PA 19119-2107 2019-04-12
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Competitor

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City PHILADELPHIA
Zip Code 19131

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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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