BANCROFT NEUROHEALTH (NPI# 1720105570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720105570 |
| Entity Type | Organization |
| Organization Name | BANCROFT NEUROHEALTH |
| Other Organization Name | THE WALKER MEMORIAL TRAINING CENTER |
| Practice Address |
3901 Conshohocken Ave Greenbriar - #4311 Philadelphia PA 19131-5430 |
| Mailing Address |
304 Old Lancaster Rd Merion Station PA 19066-1526 |
| Practice Telephone | 2158772373 |
| Practice Fax Number | 6107470294 |
| Mailing Telephone | 6107270290 |
| Mailing Fax Number | 6107470294 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | SHARON E WILLIAMS-TAYLOR (SENIOR DIRECTOR) |
| Authorized Official Telephone | 6107470290 |
| Authorized Official Credential | M.S. STLDR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 135180 | PA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Walker Memorial Training Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329336 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Villinger Ave, Cinnaminson, NJ 08077-2934 | 2020-09-03 |
| 1184232175 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 65 Brophy Ct, Ewing, NJ 08638-1224 | 2020-07-16 |
| 1891325908 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 347 Walton Ave, Mount Laurel, NJ 08054-9579 | 2020-01-17 |
| 1891335139 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 993 Shadow Oaks Dr, Toms River, NJ 08753-3531 | 2020-01-15 |
| 1134762065 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1703 Cedar Dr, Medford, NJ 08055-2322 | 2019-10-23 |
| 1932740883 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4104 Hamilton Dr, Voorhees, NJ 08043-3121 | 2019-10-02 |
| 1184187437 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3208 Avalon Ct, Voorhees, NJ 08043-4649 | 2019-04-12 |
| 1285194878 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1811 Kresson Rd, Cherry Hill, NJ 08003-2528 | 2019-03-21 |
| 1164998340 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 707 Eugenia Dr, Medford, NJ 08055-2312 | 2018-10-16 |
| 1972080059 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Hessian Way, Cherry Hill, NJ 08003-2615 | 2018-07-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BANCROFT NEUROHEALTH, A NEW JERSEY NONPROFIT CORPORATION | 1255 Caldwell Rd, Cherry Hill, NJ 08034-3220 |
| Street Address |
3901 CONSHOHOCKEN AVE GREENBRIAR - #4311 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19131-5430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043218175 | Jonas Kosik | Pharmacist | 3901 Conshohocken Ave, Philadelphia, PA 19131-5430 | 2005-07-12 |
| 1891166898 | Dong Hyun Suh | Pharmacist | 3901 Conshohocken Ave, Philadelphia, PA 19131-5430 | 2015-10-16 |
| 1750659439 | Su Jung Hong | Pharmacist | 3901 Conshohocken Ave, Philadelphia, PA 19131-5430 | 2011-12-08 |
| 1831479047 | Douglass Breath of Life | Respiratory Therapist, Certified | 3901 Conshohocken Ave, #8308, Philadelphia, PA 19131-5430 | 2011-08-18 |
| 1366770158 | Yapa Apartment Living Program, Inc | Community Based Residential Treatment Facility, Mental Illness | 3901 Conshohocken Ave, Philadelphia, PA 19131-5430 | 2009-12-07 |
| 1487806048 | Muhammad Irfan Saeed | Specialist | 3901 Conshohocken Ave, Apt # 6401, Philadelphia, PA 19131-5430 | 2008-10-15 |
| 1669532628 | Angel's Care Inc | Ambulance | 3901 Conshohocken Ave, Suite 2, Philadelphia, PA 19131-5430 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678925 | Jonathan Welch | Student in an Organized Health Care Education/Training Program | 4200 E City Ave, Rowland Hall, Suite 207, Physician Assistant Department, Philadelphia, PA 19131 | 2020-10-27 |
| 1659970689 | Novacare Outpatient Rehabilitation East, Inc. | Clinic/Center | 1575 North 25nd Street, Philadelphia, PA 19131 | 2020-10-21 |
| 1821629254 | Stephen Osowski | Student in an Organized Health Care Education/Training Program | 4170 City Avenue, Philadelphia, PA 19131 | 2020-02-04 |
| 1134774888 | Arti D Mistry | Dentist | 1126 Horsham Road, Philadelphia, PW 19131 | 2019-08-08 |
| 1275187221 | Grace Bernadette Farrelly | Occupational Therapist | 2101 Simpson House, Philadelphia, PA 19131 | 2019-07-29 |
| 1235795204 | Isd Renal Inc | Clinic/Center | 4952 Parkside Ave, Philadelphia, PA 19131 | 2019-05-15 |
| 1922502582 | Kevin David Wojcik | Student in an Organized Health Care Education/Training Program | Philadelphia College of Osteopathic Medicine, 4190 City Ave, Philadelphia, PA 19131 | 2018-03-20 |
| 1235633900 | Nadja Hill | Home Health | 5203 Diamond Street, Philadelphia, PA 19131 | 2018-03-19 |
| 1932623857 | Mercy Management of Sepa | Social Worker | 1575 N 52nd St Ste 800, Philadelphia, PA 19131 | 2017-08-02 |
| 1578092235 | Sarah Marie Hoder | Specialist/Technologist | 4000 Presidential Avenue, Philadlephia, PA 19131 | 2017-06-07 |
| Find all providers in zip 19131 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940183 | Kenccid | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 | 2020-10-22 |
| 1518425669 | Marthas Way | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1319 Mcferran St, Philadelphia, PA 19140-2005 | 2019-03-07 |
| 1457819690 | Personal Touch Professional Services II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6603 N Gratz St, Philadelphia, PA 19126-2633 | 2019-03-06 |
| 1427531698 | Penn-jersey Integrated Human Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6272 Kindred St, Philadelphia, PA 19149-2805 | 2018-09-12 |
| 1114425691 | Norvetta Naomi Victoria Steward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1524 N Gratz St, Philadelphia, PA 19121-4125 | 2018-01-30 |
| 1700240496 | Mega Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2704 S 86th St, Philadelphia, PA 19153-1501 | 2016-04-08 |
| 1770947533 | Mega Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2707 S 86th St, Philadelphia, PA 19153 | 2016-04-07 |
| 1518320373 | Providence Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7928 Ridge Ave, First Floor, Philadelphia, PA 19128-3011 | 2016-03-30 |
| 1043671712 | Pius Homes LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1333 S 49th St, Philadelphia, PA 19143-4442 | 2016-03-09 |
| 1013372184 | Divine Providence Village | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6600 Leeds St, Philadelphia, PA 19151-3028 | 2015-12-16 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19131 |
Please comment or provide details below to improve the information on BANCROFT NEUROHEALTH.
| 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.