WANPAE (NPI# 1093267742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093267742 |
| Entity Type | Organization |
| Organization Name | WANPAE |
| Practice Address |
1622 Catharine St Philadelphia PA 19146-2021 |
| Practice Telephone | 2675707757 |
| Mailing Telephone | 2675707757 |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |
| Authorized Official Name | MR. MICHAEL PATTERSON JR. (PRESIDENT) |
| Authorized Official Telephone | 2675707757 |
| Authorized Official Credential | B.A. FINANCE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | PA | Residential Treatment Facilities |
| Street Address |
1622 CATHARINE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19146-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
| 1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
| 1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
| 1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
| 1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
| 1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
| Find all providers in zip 19146 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962965145 | Providence Living LLC | Substance Abuse Rehabilitation Facility | 1528 Walnut St Ste 1410, Philadelphia, PA 19102-3610 | 2019-04-13 |
| 1265933931 | Teen Challenge Training Center, Inc. | Substance Abuse Rehabilitation Facility | 329 E Wister St, Philadelphia, PA 19144-1828 | 2018-02-27 |
| 1689190746 | Why Not Prosper Inc | Substance Abuse Rehabilitation Facility | 717 E Chelten Ave, Philadelphia, PA 19144-1206 | 2017-08-20 |
| 1790213122 | Center City Recovery, LLC | Substance Abuse Rehabilitation Facility | 1880 Jfk Blvd Ste 1110, Philadelphia, PA 19103-7422 | 2017-05-30 |
| 1972958544 | Rittenhouse Health LLC | Substance Abuse Rehabilitation Facility | 2321 N. Broad St, Philadelphia, PA 19132 | 2016-05-02 |
| 1417311150 | Adaptive Care Services | Substance Abuse Rehabilitation Facility | 3524 Wallace St, Philadelphia, PA 19104-1921 | 2016-04-08 |
| 1174901516 | Knesset Klein | Substance Abuse Rehabilitation Facility | 221 E Price St, Philadelphia, PA 19144-2147 | 2015-05-18 |
| 1497020143 | Resources for Human Development, Inc. | Substance Abuse Rehabilitation Facility | 5037 Woodland Ave, Philadelphia, PA 19143 | 2012-03-14 |
| 1760610117 | The King's House | Substance Abuse Rehabilitation Facility | 3509 N American St, Philadelphia, PA 19140-5701 | 2009-06-24 |
| 1558509539 | Joshua Achievment Center | Substance Abuse Rehabilitation Facility | 2016 W Berks St, Philadelphia, PA 19121-2129 | 2009-01-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19146 |
Please comment or provide details below to improve the information on WANPAE.
| 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.