PERSONAL TOUCH PROFESSIONAL SERVICES II (NPI# 1457819690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457819690 |
Entity Type | Organization |
Organization Name | PERSONAL TOUCH PROFESSIONAL SERVICES II |
Practice Address |
6603 N Gratz St Philadelphia PA 19126-2633 |
Mailing Address |
93 Old York Rd # 1-526 Jenkintown PA 19046-3925 |
Practice Telephone | 2678088810 |
Mailing Telephone | 2672914513 |
Enumeration Date | 2019-03-06 |
Last Update Date | 2019-03-06 |
Authorized Official Name | TAHIRA DOCKERY (CEO) |
Authorized Official Telephone | 2678088810 |
Authorized Official Credential | CRNP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
Address | Telephone Number | Fax Number |
---|---|---|
6603 N Gratz St, Philadelphia, PA 191262633 | 2672914513 |
Street Address |
6603 N GRATZ ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19126-2633 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851917975 | Mildred Kenney | Social Worker | 1333 68th St, Philadelphia, PA 19126 | 2020-06-24 |
1639706823 | Southern Comfort Living | In Home Supportive Care | 6641 North Broad Street, Philadelphia, PA 19126 | 2020-03-26 |
1043759905 | Dawneisha Spratley | Community/Behavioral Health | 6726 N 18th St, Philadelphia, PA 19126 | 2017-02-13 |
1942751417 | Oaklane Pharmacy 1 LLC | Pharmacy | 6724 Old York Rd., Philadelphia, PA 19126 | 2016-10-20 |
1649728262 | Donna Chan | Pharmacist | 6744 N. 5th Street, Philadelphia, PA 19126 | 2016-09-12 |
1871976381 | Dena S Harris | Counselor | 7305 N 18th St, Phila, PA 19126 | 2015-07-01 |
1104128677 | Mental Health Partnerships | Community Based Residential Treatment Facility, Mental Illness | 1305 Oak Lane Avenue, Philadelphia, PA 19126 | 2010-12-03 |
1972665826 | Alfonso Clark | Dentist | 1344 66th Ave, Phila, PA 19126 | 2006-12-15 |
1013441906 | Chrisline Nicolas | Nurse Practitioner | 7101 Old York Rd, Philadelphia, PA 19126 | 2017-04-18 |
1215326541 | Erika Childs | Counselor | 6931 N 19th St, Philadelphia, PA 19126-1506 | 2015-01-09 |
Find all providers in zip 19126 |
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 |
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 |
1578928644 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7214 Briar Rd, Philadelphia, PA 19138-1326 | 2015-12-16 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19126 |
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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.