COMMUNITY OUTREACH PROGRAM


Address: 1311 N 52nd St, Philadelphia, PA 19131-4412
Phone: 2154731181

COMMUNITY OUTREACH PROGRAM (NPI# 1821453150) 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) 1821453150
Entity Type Organization
Organization Name COMMUNITY OUTREACH PROGRAM
Practice Address 1311 N 52nd St
Philadelphia
PA 19131-4412
Mailing Address 1311 N 52nd Street
Philadelphia
PA 19131
Practice Telephone 2154731181
Practice Fax Number 2158792723
Mailing Telephone 2154731181
Mailing Fax Number 2158792723
Enumeration Date 2015-12-31
Last Update Date 2015-12-31
Authorized Official Name MRS. ELIZABETH L HARDEN (EXCUTIVE DIRECTOR)
Authorized Official Telephone 2154731181
Authorized Official Credential M.H.S,
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 1311 N 52ND ST
City PHILADELPHIA
State PA
Zip Code 19131-4412

Providers in the same zip code

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 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
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
1841670403 Amazings Pathways Community Based Residential Treatment Facility, Mental Illness 1226 E Price St, Philadelphia, PA 19138-1913 2015-06-08
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19131

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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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