PHILADELPHIA HEALTH MANAGEMENT CORP (NPI# 1407994684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407994684 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA HEALTH MANAGEMENT CORP |
| Other Organization Name | CHILDLINK PROGRAM |
| Practice Address |
260 S Broad St 18th Floor Philadelphia PA 19102-5021 |
| Practice Telephone | 2159856233 |
| Practice Fax Number | 2677652360 |
| Mailing Telephone | 2159856233 |
| Mailing Fax Number | 2677652360 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CARLA WALKER (BILLING COORDINATOR) |
| Authorized Official Telephone | 2159856233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| ChildLink Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699956854 | Philadelphia Health Management Corp | Community/Behavioral Health | 4329 Griscom St, Phila, PA 19124-5021 | 2007-11-16 |
| 1831231612 | Philadelphia Health Management Corp | Community/Behavioral Health | 1200 Callowhill St, Suite 102, Philadelphia, PA 19123-3604 | 2007-02-12 |
| 1396883385 | Philadelphia Health Management Corp | Physical Therapist | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2007-02-02 |
| 1669510657 | Philadelphia Health Management Corp | Case Manager/Care Coordinator | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2007-02-02 |
| 1053466086 | Philadelphia Health Management Corp | Clinic/Center | 111 N 49th St, 2nd Floor, Philadelphia, PA 19139-2718 | 2007-01-23 |
| Street Address |
260 S BROAD ST 18TH FLOOR |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19102-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578673570 | Anna Devries Lawler | Psychologist | 260 S Broad St, Philadelphia, PA 19102-5021 | 2006-08-30 |
| 1134563539 | Sandra Blatz | Clinical Nurse Specialist | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2013-04-29 |
| 1962755819 | Sandra Orlin | Registered Nurse | 260 S Broad St, Philadelphia, PA 19102-5021 | 2012-10-16 |
| 1134434947 | Amy Patrice Kinateder | Registered Nurse | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2010-08-17 |
| 1710292529 | Blair Hawes Davies Lamb | Registered Nurse | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2010-08-17 |
| 1174782098 | Erin Graham | Registered Nurse | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2008-06-05 |
| 1972779288 | Tracey Morris | Marriage & Family Therapist | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2008-05-06 |
| 1992971337 | Kelli S Dunham | Registered Nurse | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2008-05-06 |
| 1699947366 | Elizabeth Dieckman | Nurse Practitioner | 260 S Broad St, Philadelphia, PA 19102-5021 | 2008-04-02 |
| 1124204904 | National Nursing Centers Consortium | Social Worker | 260 S Broad St, 18th Floor, Philadelphia, PA 19102-5021 | 2008-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821650847 | Alexandre Mason Sharma | Student in an Organized Health Care Education/Training Program | 200 N 16th St Apt 1318, Philadelphia, PA 19102 | 2019-06-29 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| 1245898170 | Parth Javia | Internal Medicine | 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-05 |
| 1588120968 | John Granger II | Social Worker | 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 | 2019-02-11 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1770076465 | Sarthi Dalal | Internal Medicine | 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1255824033 | Joyce Nimo-boampong | Internal Medicine | Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 | 2018-06-07 |
| 1134625692 | Emma Rose Gormley | Social Worker | 1601 Walnut St Ste 1516, Philadelphia, PA 19102 | 2018-04-03 |
| 1851808497 | Sunish Shah | Pharmacist | 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 | 2018-01-04 |
| Find all providers in zip 19102 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250546 | Lindsay Margarida Stiem | Case Manager/Care Coordinator | 3600 Market St Fl 6, Philadelphia, PA 19104-2669 | 2020-09-22 |
| 1023633872 | Raenita Janay Robinson | Case Manager/Care Coordinator | 3600 Market St # 6thf, Philadelphia, PA 19104-3284 | 2020-06-08 |
| 1124656467 | Desiree Driver | Case Manager/Care Coordinator | 2417 Welsh Rd Ste 209, Philadelphia, PA 19114-2211 | 2020-03-31 |
| 1497399323 | Deborah Calvert | Case Manager/Care Coordinator | 3550 Market St Fl 5, Philadelphia, PA 19104-3364 | 2019-11-04 |
| 1386298230 | Danielle Rose | Case Manager/Care Coordinator | 9586 James St # B, Philadelphia, PA 19114-3059 | 2019-07-30 |
| 1619521077 | Guiding Hands Support Coordination Services | Case Manager/Care Coordinator | 3538 Drumore Dr, Philadelphia, PA 19154-3912 | 2019-07-24 |
| 1285296806 | Rokyatou Sylla | Case Manager/Care Coordinator | 3019 S 68th St, Philadelphia, PA 19142-3321 | 2019-07-03 |
| 1578129516 | Peace and Serenity Support Services LLC | Case Manager/Care Coordinator | 4700 City Ave Apt 10305, Philadelphia, PA 19131-1572 | 2019-05-15 |
| 1750843462 | Sherri Lewis | Case Manager/Care Coordinator | 624 S Yewdall St, Philadelphia, PA 19143-2522 | 2019-04-02 |
| 1184181638 | Rafiah Williams | Case Manager/Care Coordinator | 2712b W York St, Philadelphia, PA 19132-3511 | 2019-02-20 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19102 |
Please comment or provide details below to improve the information on PHILADELPHIA HEALTH MANAGEMENT CORP.
| 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.