TABOR CHILDREN'S SERVICES (NPI# 1255673927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255673927 |
| Entity Type | Organization |
| Organization Name | TABOR CHILDREN'S SERVICES |
| Practice Address |
6667 Musgrave St Philadelphia PA 19119-2266 |
| Mailing Address |
601 New Britain Rd Doylestown PA 18901-2788 |
| Practice Telephone | 2158424800 |
| Practice Fax Number | 2158424809 |
| Mailing Telephone | 2158424800 |
| Mailing Fax Number | 2153489261 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |
| Authorized Official Name | DR. ROBERT EDWARD HAUSSMANN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2158424800 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 100003856 | PA | Residential Treatment Facilities |
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100003856 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PROMISE | 100003856 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083164453 | Tabor Children's Services | Community/Behavioral Health | 57 E Armat St, Philadelphia, PA 19144-2201 | 2016-10-10 |
| 1124173588 | Tabor Children's Services | Clinic/Center | 57 E Armat St, Philadelphia, PA 19144-2201 | 2007-01-24 |
| Street Address |
6667 MUSGRAVE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19119-2266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940183 | Kenccid | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 | 2020-10-22 |
| 1518425669 | Marthas Way | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1319 Mcferran St, Philadelphia, PA 19140-2005 | 2019-03-07 |
| 1457819690 | Personal Touch Professional Services II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6603 N Gratz St, Philadelphia, PA 19126-2633 | 2019-03-06 |
| 1427531698 | Penn-jersey Integrated Human Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6272 Kindred St, Philadelphia, PA 19149-2805 | 2018-09-12 |
| 1114425691 | Norvetta Naomi Victoria Steward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1524 N Gratz St, Philadelphia, PA 19121-4125 | 2018-01-30 |
| 1700240496 | Mega Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2704 S 86th St, Philadelphia, PA 19153-1501 | 2016-04-08 |
| 1770947533 | Mega Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2707 S 86th St, Philadelphia, PA 19153 | 2016-04-07 |
| 1518320373 | Providence Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7928 Ridge Ave, First Floor, Philadelphia, PA 19128-3011 | 2016-03-30 |
| 1043671712 | Pius Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 S 49th St, Philadelphia, PA 19143-4442 | 2016-03-09 |
| 1013372184 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6600 Leeds St, Philadelphia, PA 19151-3028 | 2015-12-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19119 |
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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.