WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC (NPI# 1285099598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285099598 |
| Entity Type | Organization |
| Organization Name | WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC |
| Other Organization Name | THE CONSORTIUM, INC. |
| Practice Address |
5205 Webster St Philadelphia PA 19143-2626 |
| Mailing Address |
3751 Island Ave Suite 303 Philadelphia PA 19153-3237 |
| Practice Telephone | 2155968100 |
| Practice Fax Number | 2153820511 |
| Mailing Telephone | 2155968100 |
| Mailing Fax Number | 2153820511 |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | JOHN F. WHITE JR. (PRESIDENT/CEO) |
| Authorized Official Telephone | 2155968100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 195570 | PA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Consortium, Inc. | Doing Business As Name - Organization |
| Street Address |
5205 WEBSTER ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19143-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801105325 | West Philadelphia Community Mental Health Consortium | Community Based Residential Treatment Facility, Mental Illness | 5205 Webster St, Philadelphia, PA 19143-2626 | 2010-10-01 |
| 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 WEST PHILA COMMUNITY MENTAL HEALTH CONSORTIUM, INC.
| 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.