ACCESSIBLE COMMUNITY LIVING GROUP (NPI# 1649768219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649768219 |
| Entity Type | Organization |
| Organization Name | ACCESSIBLE COMMUNITY LIVING GROUP |
| Other Organization Name | ACCESSIBLE COMMUNITY LIVING |
| Practice Address |
508 E Brinton St Philadelphia PA 19144-1005 |
| Mailing Address |
7705 Rugby St Philadelphia PA 19150-2507 |
| Practice Telephone | 2155147521 |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2018-04-28 |
| Authorized Official Name | KHALIQ DUNCAN (CEO) |
| Authorized Official Telephone | 2155147521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Accessible Community Living | Doing Business As Name - Organization |
| Street Address |
508 E BRINTON ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912525395 | Sakeia Cyrell Leggett | Assisted Living Facility | 374 Devereaux Ave, Philadelphia, PA 19111-6023 | 2020-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467079319 | On-site Companionship Services LLC | Assisted Living Facility | 1425 Oberlin St, Pittsburgh, PA 15206-1957 | 2020-06-26 |
| 1316310410 | Allied Healthcare Services | Assisted Living Facility | 820 Mahantongo St, Pottsville, PA 17901-3023 | 2015-11-11 |
| 1437400751 | Community Residential Services, Inc. | Assisted Living Facility | 1360 1/2 4th St, Monongahela, PA 15063-1970 | 2012-09-26 |
| 1033471636 | Allied Healthcare Services | Assisted Living Facility | 12 Mix Ave, Towanda, PA 18848-1948 | 2012-06-11 |
| 1437394509 | Kidspeace National Centers Inc | Assisted Living Facility | 301 Broadway Ste 4b, Bethlehem, PA 18015-1559 | 2008-12-03 |
| 1184882805 | Mount Trexler Manor | Assisted Living Facility | 5201 Saint Josephs Road, Limeport, PA 18060-0010 | 2008-05-29 |
| 1598922858 | Stabon Manor PCh, Inc | Assisted Living Facility | 1555 Haak St, Reading, PA 19602-2212 | 2008-05-22 |
| 1396734398 | Allied Healthcare Services | Assisted Living Facility | 108 Eliza St, Scranton, PA 18508-1003 | 2005-10-21 |
| 1205111747 | Pathways of Sw Pa, Inc | Assisted Living Facility | 190 N Main St, Washington, PA 15301-4349 | 2011-10-17 |
| 1003124793 | Harrisburg Senior Care LLC | Assisted Living Facility | 150 Kempton Ave, Harrisburg, PA 17111-3543 | 2010-09-16 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
Please comment or provide details below to improve the information on ACCESSIBLE COMMUNITY LIVING GROUP.
| 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.