ATL COMMUNITY LIVING LLC (NPI# 1396215158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396215158 |
| Entity Type | Organization |
| Organization Name | ATL COMMUNITY LIVING LLC |
| Practice Address |
5231 Locust St Philadelphia PA 19139-4020 |
| Mailing Address |
6024 Torresdale Ave Philadelphia PA 19135-3733 |
| Practice Telephone | 2672054732 |
| Mailing Telephone | 2672054732 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | MS. LONNA HENRYAND (CEO) |
| Authorized Official Telephone | 2672054732 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
5231 LOCUST ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19139-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457885576 | Tlc Living | Assisted Living Facility | 5756 N Camac St, Philadelphia, PA 19141-4108 | 2017-04-14 |
| 1649528522 | N-syte Development Corp | Assisted Living Facility | 102 E Hortter St, Philadelphia, PA 19119-2206 | 2012-08-26 |
| 1477830305 | Moravia Health Network, LLC | Assisted Living Facility | 1500 Walnut St Ste 1900, Philadelphia, PA 19102 | 2011-11-06 |
| 1477857241 | Sg Senior Living, LLC | Assisted Living Facility | 150 N 20th St, Philadelphia, PA 19103-1456 | 2011-01-07 |
| 1962530683 | Holy Family Home | Assisted Living Facility | 5300 Chester Ave, Philadelphia, PA 19143-4929 | 2007-03-02 |
| 1225188386 | Bakers Bay Elderly Associates | Assisted Living Facility | 9503 State Rd, Philadelphia, PA 19114-3039 | 2007-01-11 |
| 1558303982 | Geriatric & Medical Services Inc | Assisted Living Facility | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2006-06-11 |
| 1770562688 | Ashton Hall Inc | Assisted Living Facility | 2109 Red Lion Rd, Philadelphia, PA 19115-1711 | 2006-01-10 |
| 1477537827 | Philadelphia Protestant Home | Assisted Living Facility | 6500 Tabor Rd, Philadelphia, PA 19111-5332 | 2005-11-30 |
| 1811994460 | Sacred Heart Manor, Inc | Assisted Living Facility | 6445 Germantown Ave, Philadelphia, PA 19119-2345 | 2005-06-28 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19139 |
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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.