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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
Street Address |
1311 N 52ND ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19131-4412 |
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 | 320800000X |
Grouping | Residential Treatment Facilities |
Classification | Community Based Residential Treatment Facility, Mental Illness |
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
Notes: [7/1/2003: new] |
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 |
City | PHILADELPHIA |
Zip Code | 19131 |
Please comment or provide details below to improve the information on COMMUNITY OUTREACH PROGRAM.
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.