INTERCOMMUNITY ACTION INC (NPI# 1720122815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720122815 |
| Entity Type | Organization |
| Organization Name | INTERCOMMUNITY ACTION INC |
| Practice Address |
4301 Wayne Ave Steel School Phila PA 19140-1717 |
| Mailing Address |
6012 Ridge Ave Phila PA 19128-1643 |
| Practice Telephone | 2154871330 |
| Mailing Telephone | 2154870906 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | DAVID BOLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2154870906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000008360080 | 05 |
| Street Address |
4301 WAYNE AVE STEEL SCHOOL |
| City | PHILA |
| State | PA |
| Zip Code | 19140-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225640519 | Desirea Grant | Registered Nurse | 2000 W. Venango Street, Phila, PA 19140 | 2020-08-19 |
| 1306316104 | Carmen Doumit | Dentist | 3223 N Broad Street, Temple University Department of Orthodontics, Philadelphia, PA 19140 | 2018-12-05 |
| 1780150375 | Samantha Marina Felix | Counselor | 3803-3805 N 5th St, Philadelphia, PA 19140 | 2018-10-22 |
| 1518485135 | Holly Marie Barbee | Dietitian, Registered | 4417 N 6th St., Philadelphia, PA 19140 | 2017-09-04 |
| 1033630892 | Jessica Anne Tang | Otolaryngology | 3440 North Broad Street, Kresge West #300, Philadelphia, PA 19140 | 2017-07-03 |
| 1710416870 | Narsis Aminian | Internal Medicine | 3401 N Broad Street, Temple Hospital, Neurlogy Deartment, Philadelphia, PA 19140 | 2017-06-12 |
| 1629527338 | Alaa Khatib | Pharmacist | 4616-4650 N. Broad Street, Philadelphia, PA 19140 | 2016-09-23 |
| 1548716160 | Direct Home Health Care | In Home Supportive Care | 3550 N 9th St, Philadelphia, PA 19140 | 2016-09-01 |
| 1306399225 | Zaima Choudhry | Student in an Organized Health Care Education/Training Program | Department of Pulmonary and Sleep Medicine, 3401 North Broad Street, Zone C - 7th Floor, Philadelphia, PA 19140 | 2016-07-27 |
| 1891145504 | Saji Mathew | Pharmacist | 4530n 5th Street, Philadelphia, PA 19140 | 2016-06-14 |
| Find all providers in zip 19140 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447498837 | Mother Care Inc. | Community/Behavioral Health | 6423 Clearview St, Phila, PA 19119-2041 | 2009-01-23 |
| 1699956854 | Philadelphia Health Management Corp | Community/Behavioral Health | 4329 Griscom St, Phila, PA 19124-5021 | 2007-11-16 |
| 1730224338 | Intercommunity Action, Inc | Community/Behavioral Health | 6000 Ridge Ave, Levering School, Phila, PA 19128-1643 | 2007-02-21 |
| 1063556181 | Intercommunity Action, Inc | Community/Behavioral Health | 4667 Umbria St, Phila, PA 19127-1929 | 2007-02-20 |
| 1467597468 | Intercommunity Action, Inc | Community/Behavioral Health | 6012 Ridge Ave, Phila, PA 19128-1697 | 2007-02-20 |
| 1285778316 | Intercommunity Action, Inc | Community/Behavioral Health | 3500 Midvale Ave, Phila, PA 19129 | 2007-02-20 |
| 1356486062 | Intercommunity Action, Inc | Community/Behavioral Health | 535 Shawmont Ave, Shawmont School, Phila, PA 19128-4032 | 2007-02-20 |
| 1285778399 | Intercommunity Action, Inc | Community/Behavioral Health | 1526 Fairmount Ave, Phila, PA 19130-2910 | 2007-02-20 |
| 1134264013 | Intercommunity Action, Inc | Community/Behavioral Health | 201 E Salaignac St, Phila, PA 19128-3763 | 2007-02-20 |
| 1548538747 | Pmhc | Community/Behavioral Health | 1230 Summer St, Phila, PA 19107 | 2011-12-02 |
| Find all providers in PHILA | ||||
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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.