JUVENILE JUSICE CENTER OF PHILADELPHIA


Address: 2821 Island Ave, Philadelphia, PA 19153-2300
Phone: 2153653772

JUVENILE JUSICE CENTER OF PHILADELPHIA (NPI# 1073939393) 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) 1073939393
Entity Type Organization
Organization Name JUVENILE JUSICE CENTER OF PHILADELPHIA
Other Organization Name JJC FAMILY SERVICES
Practice Address 2821 Island Ave
Philadelphia
PA 19153-2300
Mailing Address 100 W Coulter St
Philadelphia
PA 19144-3402
Practice Telephone 2153653772
Practice Fax Number 2153653777
Mailing Telephone 2158492112
Mailing Fax Number 2158490393
Enumeration Date 2014-03-11
Last Update Date 2014-03-11
Authorized Official Name MRS. BHAGYA LAWRENCE (BILLING MANAGER)
Authorized Official Telephone 2158492112
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 192800 PA Agencies

Other Provider/Organization Names

Other Name Type Code
JJC Family Services Doing Business As Name - Organization

Office Location

Street Address 2821 ISLAND AVE
City PHILADELPHIA
State PA
Zip Code 19153-2300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558355982 Allison Rose Dentist 2821 Island Ave, Philadelphia, PA 19153-2300 2005-08-31
1043750318 Tenzin Dechen Nurse Practitioner 2821 Island Ave, Philadelphia, PA 19153-2300 2017-03-06
1124200886 Mercy Management of Southeastern Pennsylvania Orthopaedic Surgery 2821 Island Ave, Suite 147, Philadelphia, PA 19153-2300 2007-12-04
1598946501 Staci Casey Dentist 2821 Island Ave, Suite 210, Philadelphia, PA 19153-2300 2007-11-19
1902002090 Heather Morrison Physical Therapist 2821 Island Ave, Philadelphia, PA 19153-2300 2007-06-25
1073739066 Olimbi Ekmekcioglu Dentist 2821 Island Ave, Philadelphia, PA 19153-2300 2007-04-18
1174658793 Alphonse Joseph Digiovanni Neuromusculoskeletal Medicine, Sports Medicine 2821 Island Ave, Philadelphia, PA 19153-2300 2007-02-22
1326189820 Kids Smiles Dentist 2821 Island Ave, Suite 210, Philadelphia, PA 19153-2300 2007-02-09
1235283060 Lucienne Pino Dentist 2821 Island Ave, Philadelphia, PA 19153-2300 2007-01-22
1457435976 Dianna C. Falkowitz Internal Medicine 2821 Island Ave, Suite 131, Philadelphia, PA 19153-2300 2006-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164029013 Trinh Phuong Nguyen Physical Therapist 2906-2908 Island Avenue, Philadelphia, PA 19153 2020-10-05
1356869960 Smiles Art Inc Dentist 2801 Island Ave 7, Philadelphia, PA 19153 2017-09-04
1770947533 Mega Care LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2707 S 86th St, Philadelphia, PA 19153 2016-04-07
1447569967 West Philadelphia Community Mental Health Consortium Community Based Residential Treatment Facility, Mental Illness 7100 Lindberg Blvd, Philadelphia, PA 19153 2010-10-01
1053620583 West Philadelphia Community Mental Health Consortium Community Based Residential Treatment Facility, Mental Illness 7900 Lindberg Blvd, Philadelphia, PA 19153 2010-10-01
1285823666 America's Best Contacts & Eyeglasses Technician/Technologist 3000 Island Ave., Ste. 8, Philadelphia, PA 19153 2007-10-22
1568581098 Occupational Health Centers of The Southwest, P.a., P.C. Clinic/Center 7000 Holstein Ave., Philadelphia, PA 19153 2007-03-28
1528101524 Corliss Hobson Nurse Practitioner 7307 Merganser Pl, Philadelphia, PA 19153 2007-02-15
1164523064 Thrift Drug Inc Durable Medical Equipment & Medical Supplies 2512 Island Avenue, Philadelphia, PA 19153 2006-09-26
1407825482 Ronald Wayne Kimball Ophthalmology 7701 Lindbergh Blvd, Ste 713, Philadelphia, PA 19153 2006-03-14
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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 19153

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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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