PHILADELPHIA HEALTH MANAGEMENT CORPORATION (PHMC) / GIRLSPACE (NPI# 1659541472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659541472 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA HEALTH MANAGEMENT CORPORATION (PHMC) / GIRLSPACE |
| Practice Address |
111 N 49th St # 222 2nd Fl, South Bldg. Phila PA 19139-2718 |
| Practice Telephone | 2157312042 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-08-05 |
| Authorized Official Name | SHANTE PENNINGTON (BILLING COORDINATOR) |
| Authorized Official Telephone | 2157312042 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000016640048 | 05 |
| Street Address |
111 N 49TH ST # 222 2ND FL, SOUTH BLDG. |
| City | PHILA |
| State | PA |
| Zip Code | 19139-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598378663 | Suzanne Banning Anderson | Social Worker | Sayre High School, 5800 Walnut St, Philadelphia, PA 19139 | 2020-08-28 |
| 1770192890 | Michael Pappano LLC | Social Worker | 31 South 51st St, Philadelphia, PA 19139 | 2020-07-24 |
| 1912419581 | Christina Lipuma | Dietitian, Registered | 5210 Haverford Ave, Philadelphia, PA 19139 | 2017-11-03 |
| 1538515564 | New Vitae Inc | Public Health or Welfare | 27 S 55th Street, Philadelphia, PA 19139 | 2016-05-09 |
| 1982058681 | Phyllis Mwaura | In Home Supportive Care | 5338 Vine Street, Basement, Philadelphia, PA 19139 | 2016-04-19 |
| 1861879322 | Barbara Joette Hegarty | Counselor | 4508 Chestnut Street, Philadelphia, PA 19139 | 2015-05-04 |
| 1336533454 | Julie Magallanes-montone | Family Medicine | 5201 Haverford Avenue, Philadelphia, PA 19139 | 2015-03-26 |
| 1134494909 | The Children's Hospital of Philadelphia | Pediatrics | 4865 Market Street, Philadelphia, PA 19139 | 2012-03-13 |
| 1467757443 | Nouman Bashir | Dentist | 5139 Chestnut Stree, Philadelphia, PA 19139 | 2011-01-21 |
| 1720396732 | Serena Denise Johnson | Contractor | 5151a Walnut Street, Philadelphia, PA 19139 | 2010-09-24 |
| Find all providers in zip 19139 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790383628 | New Visions of South Central Pa, Inc. | Community Based Residential Treatment Facility, Mental Illness | 138 E King St, Shippensburg, PA 17257-1329 | 2020-10-13 |
| 1174012868 | Andre Molando West | Community Based Residential Treatment Facility, Mental Illness | 444 Dalton Ave, Rochester, PA 15074-2402 | 2018-05-08 |
| 1013410224 | Aishah Holman | Community Based Residential Treatment Facility, Mental Illness | 221 Jacoby St, Norristown, PA 19401-4040 | 2018-03-14 |
| 1154858827 | Thoughtful Choice | Community Based Residential Treatment Facility, Mental Illness | 122 Faybern Ct, Verona, PA 15147-1507 | 2017-05-12 |
| 1154857365 | Housing and Education Resource Program Inc | Community Based Residential Treatment Facility, Mental Illness | 563 Stokes Ave, Braddock, PA 15104-2267 | 2017-05-08 |
| 1457892283 | Evangelical Alumni Inc. | Community Based Residential Treatment Facility, Mental Illness | 3232 N 33rd St, 3232 N 33rd St, Philadelphia, PA 19129-1202 | 2017-03-13 |
| 1871033118 | Shared Values | Community Based Residential Treatment Facility, Mental Illness | 17 Larkspur Ln, Collegeville, PA 19426-3931 | 2017-03-06 |
| 1932645108 | Elwyn | Community Based Residential Treatment Facility, Mental Illness | 5218 Germantown Ave, Philadelphia, PA 19144-2347 | 2017-01-12 |
| 1639536949 | Path (people Acting To Help) | Community Based Residential Treatment Facility, Mental Illness | 8429 Castor Ave, Philadelphia, PA 19152-1903 | 2016-01-19 |
| 1821453150 | Community Outreach Program | Community Based Residential Treatment Facility, Mental Illness | 1311 N 52nd St, Philadelphia, PA 19131-4412 | 2015-12-31 |
| Find all providers with the same taxonomy | ||||
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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.