SHRO (NPI# 1255684981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255684981 |
| Entity Type | Organization |
| Organization Name | SHRO |
| Practice Address |
5353 Lindbergh Blvd Philadelphia PA 19143-5829 |
| Practice Telephone | 2677770190 |
| Mailing Telephone | 2677770190 |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2012-10-18 |
| Authorized Official Name | MS. KINA NORTHINGTON (DIRECTOR) |
| Authorized Official Telephone | 2677770190 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | SHROC, INC. | Same As Above, Hinesburg, VT 05461 |
| Iowa Business Entities | SHROCK AG LLC | 226 South 3rd Street, Ames, IA 50010 |
| Indiana Business Entities | SHROCK FAMILY FARM LLC | 5000s Cr 750e, Selma, IN 47383 |
| Colorado Business Entities | Shrock Family Ranch LLC | 2111 Black Canyon Rd, Crawford, CO 81415 |
| Colorado Business Entities | Shrock Farms LLC | 2653 2225 Rd, Delta, CO 81416 |
| Indiana Business Entities | SHROCK PHOTOGRAPHY LLC | 8420 E. 100 N., Greentown, IN 46936-8821 |
| System for Award Management (SAM) Entities | SHROCK PREMIER CUSTOM CONSTRUCTION LLC | 234 W Main St, Loudonville, OH 44842-1134 |
| Oregon Corporations, Companies and Business Names | SHROCK TRUCKING BROKERAGE, LLC | 3820 Brooklake Rd Ne, Salem, OR 97303 |
| Oregon Corporations, Companies and Business Names | SHROCK TRUCKING, INC. | 3820 Brooklake Rd Ne, Salem, OR 97303 |
| Oregon Corporations, Companies and Business Names | SHROCK'N IT | 986 Hiatt St, Lebanon, OR 97355 |
| Street Address |
5353 LINDBERGH BLVD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19143-5829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770835936 | Kina Sherran Northington | Case Manager/Care Coordinator | 5353 Lindbergh Blvd, Philadelphia, Philadelphia, PA 19143-5829 | 2012-10-11 |
| 1912487018 | I Hate Satan | Counselor | 5353 Lindbergh Blvd, Philadelphia, PA 19143 | 2018-08-17 |
| 1962743955 | Oahspe Omar Lawson | Case Manager/Care Coordinator | 5353 Lindbergh Blvd, Philadelphia, PA 19143-5829 | 2013-03-15 |
| 1437490174 | Percy Junior Mckitthen | Case Manager/Care Coordinator | 5353 Lindbergh Blvd, Philadelphia, PA 19143-5829 | 2013-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554142 | Trusted Hands Care Professionals LLC | In Home Supportive Care | 1130 South Paxon Street, Philadelphia, PA 19143 | 2020-06-26 |
| 1477189140 | Kareemah Anjail Abdullah | Counselor | 5307 Chelen Ave, Philadelphia, PA 19143 | 2020-03-13 |
| 1336604024 | Mohamed Keita | Non-emergency Medical Transport (VAN) | 5030 Warrington Avenue, Philadelphia, PA 19143 | 2019-02-06 |
| 1366924011 | Whitney Tamika Carter | Specialist/Technologist | 5526 Ridgewood St, Philadelphia, PA 19143 | 2018-08-29 |
| 1639662190 | Mattew Muchnick | Physical Therapist | 4730 Hazel Ave 2r, Philadelphia, PA 19143 | 2018-06-10 |
| 1750883062 | Optimal Support for Everyday Lives | Case Management | 5800 Springfield Avenue, Philadelphia, PA 19143 | 2018-03-02 |
| 1205352671 | New Visions Case Management & Consulting, LLC | Social Worker | 726 S 55th Street, Philadelphia, PA 19143 | 2017-08-17 |
| 1104342583 | Mercy Management of Southeastern Pennsylvania | Orthopaedic Surgery | 501 S 54th St Ste 28, Phila, PA 19143 | 2017-08-17 |
| 1093238388 | Blessed Hands Home Care Agency L.L.C. | Home Health | 433 S. 57th Street, Phila, PA 19143 | 2017-07-19 |
| 1891216529 | Ashley Seiver | Occupational Therapist | 923 S. 46th Street, Philadelphia, PA 19143 | 2017-07-03 |
| Find all providers in zip 19143 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457892283 | Evangelical Alumni Inc. | Community Based Residential Treatment Facility, Mental Illness | 3232 N 33rd St, 3232 N 33rd St, Philadelphia, PA 19129-1202 | 2017-03-13 |
| 1932645108 | Elwyn | Community Based Residential Treatment Facility, Mental Illness | 5218 Germantown Ave, Philadelphia, PA 19144-2347 | 2017-01-12 |
| 1639536949 | Path (people Acting To Help) | Community Based Residential Treatment Facility, Mental Illness | 8429 Castor Ave, Philadelphia, PA 19152-1903 | 2016-01-19 |
| 1821453150 | Community Outreach Program | Community Based Residential Treatment Facility, Mental Illness | 1311 N 52nd St, Philadelphia, PA 19131-4412 | 2015-12-31 |
| 1154786564 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 716 Rhawn St, Philadelphia, PA 19111-2554 | 2015-12-30 |
| 1427413863 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 6818 Ditman St, Philadelphia, PA 19135-2204 | 2015-12-30 |
| 1124483557 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 920 Griffith St, Philadelphia, PA 19111-2615 | 2015-12-30 |
| 1922463355 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 2340 Benson St # 1, Philadelphia, PA 19152-2504 | 2015-12-30 |
| 1104281831 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 3131 Willits Rd, Philadelphia, PA 19114-3816 | 2015-12-23 |
| 1063895571 | James Nathaniel | Community Based Residential Treatment Facility, Mental Illness | 9 W Phil Ellena St, Philadelphia, PA 19119-2725 | 2015-07-01 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19143 |
Please comment or provide details below to improve the information on SHRO.
| 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.