INTERCOMMUNITY ACTION, INC. (NPI# 1932234416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932234416 |
| Entity Type | Organization |
| Organization Name | INTERCOMMUNITY ACTION, INC. |
| Practice Address |
6122 Ridge Ave Philadelphia PA 19128-1603 |
| Mailing Address |
6012 Ridge Ave Philadelphia PA 19128-1643 |
| Practice Telephone | 2154870906 |
| Practice Fax Number | 2154873716 |
| Mailing Telephone | 2154870906 |
| Mailing Fax Number | 2154873716 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-03-04 |
| 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 | 251B00000X | Case Management | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000008360046 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700209095 | Intercommunity Action, Inc. | Community/Behavioral Health | 67 E Bringhurst St, John Wister Elementary School, Philadelphia, PA 19144-2338 | 2014-01-23 |
| 1033541818 | Intercommunity Action, Inc. | Community/Behavioral Health | 6100 Stenton Ave, Philadelphia, PA 19138-1625 | 2013-08-05 |
| 1134341704 | Intercommunity Action, Inc. | Community/Behavioral Health | 339 Gates St, Philadelphia, PA 19128-4618 | 2007-05-03 |
| 1568682623 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 6710 Ridge Ave, Philadelphia, PA 19128-2430 | 2007-04-30 |
| 1023238128 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 3717 Manayunk Ave, Philadelphia, PA 19128-3704 | 2007-04-30 |
| 1407075245 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 2405 N 54th St, Philadelphia, PA 19131-2423 | 2007-04-24 |
| 1124162201 | Intercommunity Action, Inc. | Community/Behavioral Health | 481 Krams Ave, Philadelphia, PA 19128-3311 | 2007-02-20 |
| 1578188611 | Intercommunity Action, Inc. | Community/Behavioral Health | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2020-06-15 |
| 1992353197 | Intercommunity Action, Inc. | Clinic/Center | 4030 Brown St, Philadelphia, PA 19104-4844 | 2019-08-30 |
| 1518136829 | Intercommunity Action, Inc. | Community/Behavioral Health | 6012 Ridge Ave, Philadelphia, PA 19128 | 2008-02-21 |
| Street Address |
6122 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891865382 | Michael Patrick Gray | Psychologist | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2006-11-09 |
| 1578188611 | Intercommunity Action, Inc. | Community/Behavioral Health | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2020-06-15 |
| 1700439171 | Antoinette Rosa Jackson (aziz) | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2019-07-24 |
| 1013486463 | Danielle Elizabeth Tucci | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-11-15 |
| 1760960777 | Jonathan Everett Mauger | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-08-01 |
| 1205326089 | Paige Anne Martin | Student in an Organized Health Care Education/Training Program | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-16 |
| 1255821658 | Katherine J. Homa | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-11 |
| 1558850008 | Joclyn Rae Malys | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-09 |
| 1750870218 | Ashley M Smith | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-05-09 |
| 1215425970 | Samantha Ann Algauer | Counselor | 6122 Ridge Ave, Philadelphia, PA 19128-1603 | 2018-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677182 | Tahira Wilson | Case Management | 1521 66th Ave, Philadelphia, PA 19126-2766 | 2020-10-25 |
| 1215551304 | Neuroflow | Case Management | 111 S Independence Mall E Ste 701, Philadelphia, PA 19106-2512 | 2020-06-03 |
| 1326687161 | Road To Independence | Case Management | 724 Atwood Rd, Philadelphia, PA 19151-3702 | 2019-12-26 |
| 1295384303 | Neighbors Quality Homecare, LLC | Case Management | 1653 N 7th St, Philadelphia, PA 19122-2914 | 2019-09-11 |
| 1851945588 | Pca Care Connections | Case Management | 642 N Broad St Ste 300, Philadelphia, PA 19130-3424 | 2019-07-31 |
| 1700446655 | The Salvation Army | Case Management | 4050 Conshohocken Ave, Philadelphia, PA 19131-2826 | 2019-06-13 |
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1609347426 | Able2connect Inc. | Case Management | 7920 Fox Run Ln, Philadelphia, PA 19111-2653 | 2018-12-06 |
| 1861960163 | Compass Care Coordination Agency LLC | Case Management | 1637 Granite St, Philadelphia, PA 19124-1365 | 2018-11-05 |
| 1497222194 | Pennsylvania Development Agency | Case Management | 308 W Chelten Ave, Philadelphia, PA 19144-3859 | 2018-10-31 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
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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.