COMMUNITY COUNCIL


Address: 3543 Fairmount Ave, Philadelphia, PA 19104-1906
Phone: 2158238205

COMMUNITY COUNCIL (NPI# 1629292800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629292800
Entity Type Organization
Organization Name COMMUNITY COUNCIL
Practice Address 3543 Fairmount Ave
Philadelphia
PA 19104-1906
Mailing Address 4900 Wyalusing Ave
Philadelphia
PA 19131-5127
Practice Telephone 2158238205
Practice Fax Number 2153863549
Mailing Telephone 2154737033
Mailing Fax Number 2159336926
Enumeration Date 2007-04-12
Last Update Date 2008-04-02
Authorized Official Name JAMES PAIGE (CHIEF INFORMATION OFFICER)
Authorized Official Telephone 2154737033
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health 121630 PA Agencies

Other Provider Identifier

State Issuer Identifier Type Code
PA 1000049600027 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1932323110 Community Council Community/Behavioral Health 766 N 44th St, Philadelphia, PA 19104-1362 2007-04-12
1073737250 Community Council Community/Behavioral Health 2950 Ann Street, Philadelphia, PA 19125 2007-04-12
1235353418 Community Council Community/Behavioral Health 3301 Old York Rd, Philadelphia, PA 19140-5305 2007-04-12
1528282704 Community Council Community/Behavioral Health 6601 Elmwood Ave, Philadelphia, PA 19142-2218 2007-04-12
1053535237 Community Council Community/Behavioral Health 2300 W Cambria St, Philadelphia, PA 19132-2025 2007-04-12
1891919072 Community Council Community/Behavioral Health 4344 N. 5th Street, Philadelphia, PA 19140 2007-04-12
1346464526 Community Council Community/Behavioral Health 4725 Fairmount Ave, Philadelphia, PA 19139-2136 2007-04-12
1609090885 Community Council Community/Behavioral Health 3400 Ontario Street, Philadelphia, PA 19134 2007-04-12
1750505921 Community Council Community/Behavioral Health 6040 Cobbs Creek Pkwy, Philadelphia, PA 19143-2327 2007-04-12
1023231370 Community Council Community/Behavioral Health 1500 W Ontario St, Philadelphia, PA 19140-5012 2007-04-11

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations COMMUNITY COUNCIL 6 E Alder St Ste 327, Walla Walla, WA 99362-1938
System for Award Management (SAM) Entities COMMUNITY COUNCIL 801n. State Hwy 123 Bypass, Seguin, TX 78155
Colorado Business Entities COMMUNITY COUNCIL FOR COMMON CONCERNS 3301 Tejon St, Denver, CO 80211
Oklahoma Business Registrations COMMUNITY COUNCIL OF CENTRAL OKLAHOMA, INC. Po Box 675, Oklahoma City, OK 73101-0675
System for Award Management (SAM) Entities COMMUNITY COUNCIL OF GREATER DALLAS 1341 W Mockingbird Ln Ste 1000 W, Dallas, TX 75247-6913
System for Award Management (SAM) Entities COMMUNITY COUNCIL OF IDAHO, INC. 315 Happy Day Blvd Ste 120, Caldwell, ID 83607
Massachusetts Corporations COMMUNITY COUNCIL OF MARION, INC. 2 Spring St., Marion, MA 02738
System for Award Management (SAM) Entities COMMUNITY COUNCIL OF NASHUA, N.H., THE 7 Prospect St, Nashua, NH 03060-3921
System for Award Management (SAM) Entities COMMUNITY COUNCIL OF ST CHARLES COUNTY 427 Spencer Rd Ste 255, Saint Peters, MO 63376-2420
Colorado Business Entities COMMUNITY COUNCIL ON CULTURAL AND RELIGIOUS DIVERSITY

Office Location

Street Address 3543 FAIRMOUNT AVE
City PHILADELPHIA
State PA
Zip Code 19104-1906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407468259 Janice Beatrice Jenkins Social Worker 3543 Fairmount Ave, Philadelphia, PA 19104-1906 2020-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770829 Michelle Morris Student in an Organized Health Care Education/Training Program Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 2020-11-04
1346853041 Spectrum Health Services, Inc. Clinic/Center 1415 South University Ave, Philadelphia, PA 19104 2020-08-24
1770104259 Fatimah Sorefan-mangou Student in an Organized Health Care Education/Training Program 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1114548690 Rebecca Blaguski Registered Nurse The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 2020-05-06
1952944175 Rebecca Miriam Barmherzig Psychiatry & Neurology 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 2019-10-21
1891257101 James Paul Byrne Surgery Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 2019-04-04
1093276453 Lauren Shreve Student in an Organized Health Care Education/Training Program Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 2019-03-28
1285194282 Lauren M Christie Student in an Organized Health Care Education/Training Program Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 2019-03-25
1114487683 Sabrina Layne Student in an Organized Health Care Education/Training Program 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 2019-03-21
1811457310 Kia Lor Student in an Organized Health Care Education/Training Program Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 2019-03-21
Find all providers in zip 19104

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417557174 Kensington Hospital Non Hospital Short Term/long Term Rehab Community/Behavioral Health 136 W. Diamond St, Philadelphia, PA 19122-1721 2020-10-30
1922625789 Merakey Philadelphia Community/Behavioral Health 1414 Shelmire Ave, Philadelphia, PA 19111-3314 2020-06-28
1801417456 Detention Management Solutions Community/Behavioral Health 967 Clyde Ln, Philadelphia, PA 19128-1141 2020-05-05
1316579923 Community Council for Mental Health & Mental Retardation Inc. Community/Behavioral Health 1211 Chestnut St Fl 8, Philadelphia, PA 19107-4103 2020-02-11
1083257133 Homes of Humanity, LLC Community/Behavioral Health 47 N 51st St, Philadelphia, PA 19139-2726 2019-10-22
1376196147 Hopeworks Wellness, LLC Community/Behavioral Health 2449 Golf Rd Ste 2, Philadelphia, PA 19131-1475 2019-07-22
1144873126 Wmc Community/Behavioral Health 4243 Frankford Ave, Philadelphia, PA 19124-4520 2019-07-19
1336792316 Wedge Medical Center Community/Behavioral Health 3600 Germantown Ave, Philadelphia, PA 19140-4226 2019-07-19
1619533098 Sankofa Healing Studio Community/Behavioral Health 1415 N Broad St Ste 221c, Philadelphia, PA 19122-3325 2019-05-11
1902369234 Resouces for Human Development, Inc. Community/Behavioral Health 227 E Garrett St, Philadelphia, PA 19119-2107 2019-04-12
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19104

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Dataset Information

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.

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