PEACE AND SERENITY SUPPORT SERVICES LLC (NPI# 1578129516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578129516 |
| Entity Type | Organization |
| Organization Name | PEACE AND SERENITY SUPPORT SERVICES LLC |
| Practice Address |
4700 City Ave Apt 10305 Philadelphia PA 19131-1572 |
| Practice Telephone | 2676934568 |
| Mailing Telephone | 2676934568 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-06-13 |
| Authorized Official Name | JUANITA ALLEN (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2676934568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4700 CITY AVE APT 10305 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| 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 |
| 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 |
| 1578033031 | Honor & Respect Care Management | Case Manager/Care Coordinator | 1814 Ashley St, Philadelphia, PA 19126-1515 | 2018-11-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
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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.