CDIG INC (NPI# 1518470624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518470624 |
| Entity Type | Organization |
| Organization Name | CDIG INC |
| Other Organization Name | THE CENTER FOR DEVELOPMENT, INDEPENDENCE & GROWTH |
| Practice Address |
1714 Danforth St Philadelphia PA 19152-1802 |
| Mailing Address |
221 W 34th St Wilmington DE 19802-2608 |
| Practice Telephone | 3023072446 |
| Mailing Telephone | 3023072446 |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |
| Authorized Official Name | MR. MIKAL LANARD PAYNE SR. (EVP & CFO) |
| Authorized Official Telephone | 3023072446 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Center for Development, Independence & Growth | Doing Business As Name - Organization |
| Street Address |
1714 DANFORTH ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19152-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412416 | Vishak Hari Kumar | Student in an Organized Health Care Education/Training Program | 2601 Holme Ave., Philadelphia, PA 19152 | 2020-06-19 |
| 1093298325 | Friendly Smile Dental Inc | Clinic/Center | 7608 Castor Ave 1 St Floor, Philadelphia, PA 19152 | 2018-09-12 |
| 1659857720 | Jaini Desai | Behavior Technician | 2982 Welsh Rd, Philadelphia, PA 19152 | 2018-07-12 |
| 1578066395 | Alexis Turbin | Physician Assistant | 8001 Roosevelt Blvd Ste 307, Philadelphia, PA 19152 | 2018-03-18 |
| 1215452982 | Nazareth Physician Services Inc | Social Worker | 2630 Holme Ave Ste 101, Philadelphia, PA 19152 | 2017-08-03 |
| 1437671955 | Anca & Leo LLC | Home Health | 9107 Revere St Ste 1, Philadelphia, PA 19152 | 2017-07-17 |
| 1407377435 | Erin O'neill Mcdermott | Nurse Practitioner | 1906 Tustin St., Philadelphia, PA 19152 | 2017-06-29 |
| 1700307766 | Vinayasree Shyam | Internal Medicine | 2601 Holme Avenue, Internal Medicine Residency, Philadelphia, PA 19152 | 2017-06-29 |
| 1497292833 | Joy & Comfort Home Care | Home Health | 2303 Stanwood St, Philadelphia, PA 19152 | 2017-01-24 |
| 1700320330 | Anna Lvovna Blinava | Pharmacist | 8330 Bustleton Ave Bells Market Pharmacy, Philadelphia, PA 19152 | 2016-12-16 |
| Find all providers in zip 19152 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104463736 | Embolden Community Allies | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4000 Gypsy Ln Unit 204, Philadelphia, PA 19129-5405 | 2019-12-02 |
| 1699285676 | Antonio Romero | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1045 N Leithgow St, Philadelphia, PA 19123-1420 | 2017-10-04 |
| 1578007795 | Rhonda Hill-sharif | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2932 N Taylor St, Philadelphia, PA 19132-1911 | 2016-12-06 |
| 1588039960 | Holcomb Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4000 Presidential Blvd Apt 1101, Philadelphia, PA 19131-1720 | 2015-12-10 |
| 1205213832 | Serene Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1144 N 4th St, Philadelphia, PA 19123-1503 | 2015-05-04 |
| 1982931440 | Vernon Care Living Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 729 E Vernon Rd, Philadelphia, PA 19119-1502 | 2009-11-04 |
| 1578715959 | Transion Stage Three | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5602 Harley Dr Apt 2c, Philadelphia, PA 19143-6264 | 2008-10-16 |
| 1760517205 | Eman Community Living Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 820 E Vernon Rd Fl 2, Philadelphia, PA 19119-1519 | 2007-02-23 |
| 1073882296 | Northeast Community Center for Mh/mr | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4641 Roosevelt Blvd, Orleans Building, Philadelphia, PA 19124-2343 | 2011-12-16 |
| 1093995243 | Resources for Human Development | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4700 Wissahickon Ave, Philadelphia, PA 19144-4248 | 2007-11-05 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19152 |
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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.