ELWYN (NPI# 1164681821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164681821 |
| Entity Type | Organization |
| Organization Name | ELWYN |
| Other Organization Name | NEW VISION PSYCHIATRIC REHABILITATION |
| Practice Address |
4017 Ludlow Street Philadelphia PA 19104 |
| Mailing Address |
111 Elwyn Road Elwyn PA 19063 |
| Practice Telephone | 6108912092 |
| Mailing Telephone | 6108912006 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |
| Authorized Official Name | MR. DANIEL REARDON (CFO) |
| Authorized Official Telephone | 6108912021 |
| Authorized Official Credential | EXECUTIVE MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| New Vision Psychiatric Rehabilitation | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546245 | Elwyn | Community/Behavioral Health | 3300 Henry Ave Ste 401, Philadelphia, PA 19129-1121 | 2018-01-11 |
| 1013422526 | Elwyn | Community/Behavioral Health | 1001 Sterigere St Bldg 9-af, Norristown, PA 19401-5300 | 2017-12-06 |
| 1932645108 | Elwyn | Community Based Residential Treatment Facility, Mental Illness | 5218 Germantown Ave, Philadelphia, PA 19144-2347 | 2017-01-12 |
| 1730542861 | Elwyn | Local Education Agency (LEA) | 419 Avenue of The States, 3rd Floor, Chester, PA 19013-4451 | 2016-04-05 |
| 1386898401 | Elwyn | Community/Behavioral Health | 2003 N 3rd St, Harrisburg, PA 17102-1804 | 2008-11-17 |
| 1083878482 | Elwyn | Community/Behavioral Health | 1347 Hausman Rd, Allentown, PA 18104-9063 | 2008-07-15 |
| 1902072358 | Elwyn | Community/Behavioral Health | 4040 Market St, Family Based Mental Health Services, Philadelphia, PA 19104-3003 | 2008-05-06 |
| 1700910999 | Elwyn | Residential Treatment Facility, Emotionally Disturbed Children | 120 S Chester Pike, Glenolden, PA 19036-1840 | 2007-03-16 |
| 1336273523 | Elwyn | Residential Treatment Facility, Emotionally Disturbed Children | 126 S Chester Pike, Glenolden, PA 19036-1806 | 2007-03-16 |
| 1457485955 | Elwyn | Residential Treatment Facility, Emotionally Disturbed Children | 114 S Chester Pike, Glenolden, PA 19036-1839 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELWYN | 111 Elwyn Rd, Media, PA 19063-4622 |
| New York State Corporations | ELWYN BUILDING SOLUTIONS, P.E., PLLC | 1155 Oberon Drive, King Ferry, Ny 13081 |
| System for Award Management (SAM) Entities | ELWYN CALIFORNIA REHABILITATION CENTER | 18325 Mt Baldy Cir, Fountain Valley, CA 92708-6115 |
| Massachusetts Corporations | ELWYN G. CAMPBELL ELEMENTARY PARENT-TEACHER ORGANIZATION | 145 Essex Street, New Bedford, MA 02745 |
| System for Award Management (SAM) Entities | ELWYN INDUSTRIES | 1 Judy Way, Aston, PA 19014-2262 |
| System for Award Management (SAM) Entities | ELWYN WILDFIRE | 1352 Northern Ct, Fort Collins, CO 80521-1275 |
| Colorado Business Entities | Elwyn Wildfire LLC | 1352 Northern Court, Fort Collins, CO 80521 |
| Street Address |
4017 LUDLOW STREET |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| 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 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.