WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM


Address: 5205 Webster St, Philadelphia, PA 19143-2626
Phone: 2155968100

WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM (NPI# 1801105325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801105325
Entity Type Organization
Organization Name WEST PHILADELPHIA COMMUNITY MENTAL HEALTH CONSORTIUM
Other Organization Name THE CONSORTIUM INC.
Practice Address 5205 Webster St
Philadelphia
PA 19143-2626
Mailing Address 3801 Market St
Suite 201
Philadelphia
PA 19104-3153
Practice Telephone 2155968100
Mailing Telephone 2152968100
Mailing Fax Number 2153824405
Enumeration Date 2010-10-01
Last Update Date 2010-10-01
Authorized Official Name JOHN WHITE JR. (CEO)
Authorized Official Telephone 2155968100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness 195570 PA Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
The Consortium Inc. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1447569967 West Philadelphia Community Mental Health Consortium Community Based Residential Treatment Facility, Mental Illness 7100 Lindberg Blvd, Philadelphia, PA 19153 2010-10-01
1053620583 West Philadelphia Community Mental Health Consortium Community Based Residential Treatment Facility, Mental Illness 7900 Lindberg Blvd, Philadelphia, PA 19153 2010-10-01
1891014783 West Philadelphia Community Mental Health Consortium Early Intervention Provider Agency 111 N 49th St, Early Intervention Program, Philadelphia, PA 19139-2718 2010-05-18

Office Location

Street Address 5205 WEBSTER ST
City PHILADELPHIA
State PA
Zip Code 19143-2626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285099598 West Phila Community Mental Health Consortium, Inc Community Based Residential Treatment Facility, Mental Illness 5205 Webster St, Philadelphia, PA 19143-2626 2015-12-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215554142 Trusted Hands Care Professionals LLC In Home Supportive Care 1130 South Paxon Street, Philadelphia, PA 19143 2020-06-26
1477189140 Kareemah Anjail Abdullah Counselor 5307 Chelen Ave, Philadelphia, PA 19143 2020-03-13
1336604024 Mohamed Keita Non-emergency Medical Transport (VAN) 5030 Warrington Avenue, Philadelphia, PA 19143 2019-02-06
1366924011 Whitney Tamika Carter Specialist/Technologist 5526 Ridgewood St, Philadelphia, PA 19143 2018-08-29
1639662190 Mattew Muchnick Physical Therapist 4730 Hazel Ave 2r, Philadelphia, PA 19143 2018-06-10
1750883062 Optimal Support for Everyday Lives Case Management 5800 Springfield Avenue, Philadelphia, PA 19143 2018-03-02
1205352671 New Visions Case Management & Consulting, LLC Social Worker 726 S 55th Street, Philadelphia, PA 19143 2017-08-17
1104342583 Mercy Management of Southeastern Pennsylvania Orthopaedic Surgery 501 S 54th St Ste 28, Phila, PA 19143 2017-08-17
1093238388 Blessed Hands Home Care Agency L.L.C. Home Health 433 S. 57th Street, Phila, PA 19143 2017-07-19
1891216529 Ashley Seiver Occupational Therapist 923 S. 46th Street, Philadelphia, PA 19143 2017-07-03
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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
1154786564 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 716 Rhawn St, Philadelphia, PA 19111-2554 2015-12-30
1427413863 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 6818 Ditman St, Philadelphia, PA 19135-2204 2015-12-30
1124483557 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 920 Griffith St, Philadelphia, PA 19111-2615 2015-12-30
1922463355 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 2340 Benson St # 1, Philadelphia, PA 19152-2504 2015-12-30
1104281831 Path (people Acting To Help), Inc. Community Based Residential Treatment Facility, Mental Illness 3131 Willits Rd, Philadelphia, PA 19114-3816 2015-12-23
1063895571 James Nathaniel Community Based Residential Treatment Facility, Mental Illness 9 W Phil Ellena St, Philadelphia, PA 19119-2725 2015-07-01
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Competitor

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City PHILADELPHIA
Zip Code 19143

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Dataset Information

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.

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