PA DEPARTMENT OF MILITARY AND VETERANS AFFAIRS (NPI# 1578672796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578672796 |
| Entity Type | Organization |
| Organization Name | PA DEPARTMENT OF MILITARY AND VETERANS AFFAIRS |
| Other Organization Name | DELAWARE VALLEY VETERANS HOME |
| Practice Address |
2701 Southampton Rd Philadelphia PA 19154-1205 |
| Practice Telephone | 2159655900 |
| Practice Fax Number | 2159650377 |
| Mailing Telephone | 2159655900 |
| Mailing Fax Number | 2159650377 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | MR. AURELIO PETER OJEDA (COMMANDANT) |
| Authorized Official Telephone | 2159650301 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 12720200 | PA | Nursing & Custodial Care Facilities |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 12720200 | PA | Suppliers |
| Y | 2865M2000X |
Military Hospital Specialization: Military General Acute Care Hospital |
12720200 | PA | Hospitals |
| Other Name | Type Code |
|---|---|
| DELAWARE VALLEY VETERANS HOME | Doing Business As Name - Organization |
| Street Address |
2701 SOUTHAMPTON RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19154-1205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306478326 | Jensine Ann Varughese | Occupational Therapist | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2020-02-07 |
| 1417429390 | Stephanie Simpson | Occupational Therapy Assistant | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2018-12-17 |
| 1124502950 | Deborah Maguire | Occupational Therapy Assistant | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2018-09-18 |
| 1306386818 | Nissim Vazana | Occupational Therapist | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2017-03-02 |
| 1922553965 | Benchmark Therapy, Inc | Clinic/Center | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2016-08-19 |
| 1639567357 | Richard Kuzela | Occupational Therapy Assistant | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2015-01-05 |
| 1114282191 | Department of Military Affairs Commonwealth of Pennsylvania | Pharmacy | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2012-07-06 |
| 1417250036 | Jamie Mccormick | Speech-Language Pathologist | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2010-12-21 |
| 1790812204 | Kurt W Campbell | Specialist | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2007-02-28 |
| 1326175936 | Paul L Ezeukwu | Specialist | 2701 Southampton Rd, Philadelphia, PA 19154-1205 | 2007-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624547 | Philadelphia Mills Dental Center | Dentist | 1318 Franklin Mills Cir #807, Philadelphia, PA 19154 | 2019-11-27 |
| 1952944472 | Lilian Trinh | Occupational Therapist | 2701 Southhampton Rd, Philadelphia, PA 19154 | 2019-10-28 |
| 1861964009 | Margaret Folkes | Occupational Therapist | 2900 Southhampton Road, Philadelphia, PA 19154 | 2018-12-28 |
| 1093231227 | Jeffrey Coulter | Counselor | 11732 Denman Road, Philadelphia, PA 19154 | 2017-08-18 |
| 1518358860 | Davida Godett | Community Health Worker | 12575 Chilton Rd, Phila, PA 19154 | 2015-02-09 |
| 1780962647 | Advanced Urgent Care of Franklin Market LLC | Family Medicine | 189 Franklin Mills Blvd, Philadelphia, PA 19154 | 2011-07-26 |
| 1639329675 | Hashaam Shahid | Technician/Technologist | 1706 Franklin Mills Circle, Eye Wise, Philadelphia, PA 19154 | 2008-09-26 |
| 1902077902 | Kathleen O'toole Rayca | Speech-Language Pathologist | 10913 Kipling Lane, Philadelphia, PA 19154 | 2008-03-18 |
| 1144303603 | Patricia Lillian Green | Counselor | 10360 Drummond Road, Philadelphia Center Human Development, Philadelphia, PA 19154 | 2006-10-20 |
| 1760589113 | Sam's Club Optical | Technician/Technologist | 1000 Franklin Mills Circle, Philadelphia, PA 19154 | 2006-09-20 |
| Find all providers in zip 19154 | ||||
| Taxonomy Code | 2865M2000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| Specialization | Military General Acute Care Hospital |
| A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in "fixed" facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A "fixed" facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the "fixed" facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as "pass-through" items. |
| Notes: [1/1/2005: title modified, definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255651543 | Veterans Affairs Medical Center | Military Hospital | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2010-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952567406 | Department of Veterans Affairs-va Medical Center | Military Hospital | 3160 E Hardies Rd, Gibsonia, PA 15044-8429 | 2008-08-04 |
| 1497734925 | Department of Military Commonwealth of Pennsylvania | Military Hospital | 401 Penn Ave, Scranton, PA 18503 | 2006-01-12 |
| 1013916584 | Department of Military and Veterans Affairs | Military Hospital | 7060 Highland Dr, Pittsburgh, PA 15206-1259 | 2005-07-18 |
| 1730335613 | Va Medical Center | Military Hospital | University Drive C, Pittsburgh, PA 15240 | 2008-08-12 |
| 1407963978 | Lovetta Ford | Military Hospital | Va Medical Center, University Drive C, Pittsburgh, PA 15240 | 2006-08-23 |
| City | PHILADELPHIA |
| Zip Code | 19154 |
Please comment or provide details below to improve the information on PA DEPARTMENT OF MILITARY AND VETERANS AFFAIRS.
| 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.