PHILADELPHIA VAMC (NPI# 1679933048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679933048 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA VAMC |
| Other Organization Name | PHILADELPHIA VA CARE SITE |
| Practice Address |
1425 Snyder Ave Philadelphia PA 19145-2317 |
| Mailing Address |
Po Box 3007 Lebanon PA 17042-3007 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| PHILADELPHIA VA CARE SITE | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134517360 | Philadelphia Vamc | Clinic/Center | 4219 Chestnut St, Philadelphia, PA 19104-3014 | 2014-12-22 |
| 1750324406 | Philadelphia Vamc | Clinic/Center | 3000 Lincoln Drive, Suite E, Marlton, NJ 08053-1500 | 2006-06-13 |
| 1316324486 | Philadelphia Vamc | Clinic/Center | 213 N 4th St, Philadelphia, PA 19106-1801 | 2015-04-28 |
| 1841608882 | Philadelphia Vamc | Clinic/Center | 300 S Broadway, Suite 103, Camden, NJ 08103-1210 | 2014-07-22 |
| 1689618795 | Philadelphia Vamc | Clinic/Center | 433 Caredean Dr, Horsham, PA 19044-1321 | 2006-06-16 |
| 1669426086 | Philadelphia Vamc | Clinic/Center | 211 County House Rd, Sewell, NJ 08080-2525 | 2006-05-20 |
| 1659321693 | Philadelphia Vamc | Skilled Nursing Facility | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-05-11 |
| 1124077144 | Philadelphia Vamc | Department of Veterans Affairs (VA) Pharmacy | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-05-08 |
| Street Address |
1425 SNYDER AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871992651 | Eun Pyung Philip Im | Pharmacist | 1425 Snyder Ave, Philadelphia, PA 19145-2317 | 2014-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750913752 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 5732 Thomas Ave, Philadelphia, PA 19143-4523 | 2020-02-07 |
| 1649802646 | Legacy Treatment Services, Inc. | Psychiatric Residential Treatment Facility | 1187 E Washington Ln, Philadelphia, PA 19138-1061 | 2020-02-07 |
| 1871639500 | St Francis St Joseph Homes for Children | Psychiatric Residential Treatment Facility | 9600 State Rd, Torresdale House, Philadelphia, PA 19114 | 2007-01-29 |
| 1417971904 | The Renfrew Centers, Inc. | Psychiatric Residential Treatment Facility | 475 Spring Lane, Philadelphia, PA 19128 | 2006-07-27 |
| 1649722349 | Gaudenzia Inc | Psychiatric Residential Treatment Facility | 1306 Spring Garden St, 7th Floor, Philadelphia, PA 19123-3213 | 2016-10-28 |
| 1225361983 | Resources for Human Development, Inc. | Psychiatric Residential Treatment Facility | 3900 City Ave, Jefferson Bldg Room 208, Philadelphia, PA 19131-2908 | 2009-09-14 |
| 1144493362 | St Gabriels System | Psychiatric Residential Treatment Facility | 227 N 18th St, Philadelphia, PA 19103-1212 | 2008-04-09 |
| 1841333770 | Wordsworth Rtf | Psychiatric Residential Treatment Facility | 3905 Ford Rd, Philadelphia, PA 19131-2824 | 2007-02-14 |
| 1518007996 | Crisis Management Services | Psychiatric Residential Treatment Facility | 2401 Penrose Ave, Philadelphia, PA 19145-5350 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467097675 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 1214 Freeport Rd, Kittanning, PA 16201-4564 | 2019-11-12 |
| 1144888272 | Perseus House, Inc | Psychiatric Residential Treatment Facility | 516 W 7th St, Erie, PA 16502-1333 | 2019-06-04 |
| 1003328071 | Children's Center for Treatment and Education | Psychiatric Residential Treatment Facility | 585 E Main St, Youngsville, PA 16371-1129 | 2017-10-31 |
| 1750746087 | The Devereux Foundation | Psychiatric Residential Treatment Facility | 160 Devereux Rd, Brandywine Rtf - Dormitory 1 Schwartz, Glenmoore, PA 19343-1615 | 2015-12-31 |
| 1588052609 | Perseus House Inc | Psychiatric Residential Treatment Facility | 643 E 6th St, Erie, PA 16507-1729 | 2014-12-23 |
| 1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
| 1609153626 | Spirit of Gheel | Psychiatric Residential Treatment Facility | 10 Hollow Rd, Spring City, PA 19475 | 2011-11-04 |
| 1083905533 | Lakeview Neurocare Pennsylvania, Inc. | Psychiatric Residential Treatment Facility | 64 Woods Ln, Lewistown, PA 17044-2082 | 2011-05-02 |
| 1265754923 | Southwood Psychiatric Hospital, Inc. | Psychiatric Residential Treatment Facility | 110 Old Concord Rd, Prosperity, PA 15329-1422 | 2010-02-23 |
| 1619299377 | Southwood Psychiatric Hospital, Inc. | Psychiatric Residential Treatment Facility | 120 Old Concord Rd, Prosperity, PA 15329-1422 | 2010-02-23 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
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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.