PRIME HEALTHCARE SERVICES ROXBOROUGH LLC (NPI# 1093087157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093087157 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES ROXBOROUGH LLC |
| Other Organization Name | ROXBOROUGH MEMORIAL HOSPITAL |
| Practice Address |
5800 Ridge Ave Philadelphia PA 19128-1737 |
| Mailing Address |
3300 E Guasti Rd 3rd Floor Ontario CA 91761-8655 |
| Practice Telephone | 2154839900 |
| Mailing Telephone | 9092354400 |
| Mailing Fax Number | 9092354419 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-05-09 |
| Authorized Official Name | MICHAEL SARRAO (VICE-PRESIDENT) |
| Authorized Official Telephone | 9092354400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Roxborough Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083986129 | Prime Healthcare Services Roxborough LLC | General Acute Care Hospital | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2012-02-06 |
| 1730451899 | Prime Healthcare Services Roxborough LLC | Rehabilitation Unit | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2012-02-06 |
| Street Address |
5800 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959941 | Freda Lozanoff | Emergency Medicine | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2005-08-15 |
| 1841818507 | Margi Gami | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-07-09 |
| 1447885132 | Ayeesha Adolphus | Nurse Practitioner | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-03-03 |
| 1255986055 | Gagandeep Sandhu | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-08-08 |
| 1316509177 | Suraj Hansalia | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-07-02 |
| 1770145856 | Ashmi Shah | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-06-28 |
| 1538636550 | Julie A Laureni | Physician Assistant | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-10-29 |
| 1649766809 | Sang Hyub Kim | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-07-10 |
| 1790276640 | James Robert Brandt | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-05-27 |
| 1194236273 | Brian Jones Jr. | Physician Assistant | 5800 Ridge Ave, Suite 234, Philadelphia, PA 19128 | 2017-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194755892 | Tenet Health System Hahnemann, LLC | Psychiatric Unit | Broad & Vine Streets, Mailstop 417, Philadelphia, PA 19102-1178 | 2006-07-05 |
| 1871012575 | Merakey Recovery Services | Psychiatric Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-09-13 |
| 1295253920 | Chestnut Hill Hospital, LLC | Psychiatric Unit | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2017-09-01 |
| 1699291690 | Merakey Recovery Services | Psychiatric Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2017-08-21 |
| 1003175514 | University of Pennsylvania | Psychiatric Unit | 3400 Civic Center Blvd, 2 South Pavilion, Philadelphia, PA 19104-5127 | 2012-05-04 |
| 1669752408 | Hahnemann University Hospital | Psychiatric Unit | 230 N Broad St, Philadelphia, PA 19102-1121 | 2011-08-25 |
| 1023267861 | Pa Hospital of The University of Pa Health System | Psychiatric Unit | 800 Spruce St, Hall Mercer Cmh/mrc, Philadelphia, PA 19107-6130 | 2008-09-17 |
| 1295902518 | Temple University Hospital, Inc - Psych Unit | Psychiatric Unit | 100 E Lehigh Ave, Philadelphia, PA 19125-1012 | 2008-05-15 |
| 1871704403 | North Philadelphia Health System | Psychiatric Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-05-25 |
| 1780895318 | North Philadelphia Health System | Psychiatric Unit | 801 W Girard Ave, Philadelphia, PA 19122-4212 | 2007-05-25 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
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| 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.