MERAKEY PHILADELPHIA (NPI# 1972624393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972624393 |
| Entity Type | Organization |
| Organization Name | MERAKEY PHILADELPHIA |
| Other Organization Name | NHS PHILADELPHIA |
| Practice Address |
6915 Germantown Ave Philadelphia PA 19119-2115 |
| Mailing Address |
906 Bethlehem Pike Erdenheim PA 19038-7731 |
| Practice Telephone | 2158363131 |
| Practice Fax Number | 2152735975 |
| Mailing Telephone | 2158363131 |
| Mailing Fax Number | 2152735975 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | MR. NORMAN E TILSON JR. (CORP SR. DIRECTOR OF BUSINESS OPS) |
| Authorized Official Telephone | 2158363131 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000017350049 | 05 |
| Other Name | Type Code |
|---|---|
| NHS Philadelphia | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625789 | Merakey Philadelphia | Community/Behavioral Health | 1414 Shelmire Ave, Philadelphia, PA 19111-3314 | 2020-06-28 |
| 1811297922 | Merakey Philadelphia | Case Management | 27 East Mt. Airy Ave, Philadelphia, PA 19119 | 2010-10-25 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1447417902 | Merakey Philadelphia | Community/Behavioral Health | 235 W School House Ln, Philadelphia, PA 19144-3845 | 2008-05-21 |
| 1528262409 | Merakey Philadelphia | Community/Behavioral Health | 237 W School House Ln, Philadelphia, PA 19144-3845 | 2007-06-13 |
| 1326264995 | Merakey Philadelphia | Community Based Residential Treatment Facility, Mental Illness | 4501 Fishers Ln, Philadelphia, PA 19124-3051 | 2007-04-18 |
| 1174644488 | Merakey Philadelphia | Intermediate Care Facility, Mentally Retarded | 2016 Robbins Ave, Philadelphia, PA 19149-2921 | 2007-04-03 |
| 1699200956 | Merakey Philadelphia | Community/Behavioral Health | 906 Bethlehem Pike, Erdenheim, PA 19038-7731 | 2017-04-25 |
| 1295117638 | Merakey Philadelphia | Community Based Residential Treatment Facility, Mental Illness | 906 Bethlehem Pike, Erdenheim, PA 19038-7731 | 2015-06-22 |
| 1578703617 | Merakey Philadelphia | Case Management | 27 E Mount Airy Ave, Philadelphia, PA 19119-1713 | 2009-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERAKEY PHILADELPHIA | 620 Germantown Pike, Lafayette Hill, PA 19444-1810 |
| Street Address |
6915 GERMANTOWN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19119-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790342640 | A United Partnership | Case Management | 520 Glen Echo Road, Philadelphia, PA 19119 | 2019-05-28 |
| 1043787559 | Latasha Marie Forteau | Social Worker | 7047 Germantown Avenue, Suite 201, Philadelphia, PA 19119 | 2018-11-01 |
| 1730697608 | Lauren Archambault | Speech-Language Pathologist | 21 E Mt Pleasant Ave Apt 1 Front, Philadelphia, PA 19119 | 2018-01-13 |
| 1164940763 | Holly Sawyer | Counselor | 6703 Germantown Avenue Suite 200, Philadelphia, PA 19119 | 2017-09-03 |
| 1164958328 | Divine Light | Community/Behavioral Health | 25 Sharpnack Street, Philadelphia, PA 19119 | 2017-05-10 |
| 1043761281 | Carolyn Askin | Social Worker | 7500 Germantown Ave, New Covenant Campus, Elders Hall, Philadelphia, PA 19119 | 2016-10-24 |
| 1932582905 | Emeka Nwadiora | Social Worker | 7601 Germantown Ave Suite B, Philadelphia, PA 19119 | 2015-07-08 |
| 1114305760 | Marcelle Lynn Ancrum | Counselor | 7145 Germantown Avenue, Philadelphia, PA 19119 | 2015-05-15 |
| 1326431909 | Julie Greenberg | Marriage & Family Therapist | 6445 Greene St., B202, Phila, PA 19119 | 2015-03-06 |
| 1184053589 | Kaitlin Staples | Counselor | 7058 Germantown Avenue, Suite 204, Philadelphia, PA 19119 | 2013-11-06 |
| Find all providers in zip 19119 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336531508 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 8538 Frankford Ave, Philadelphia, PA 19136-2032 | 2015-02-25 |
| 1558569558 | Comhar Inc | Intermediate Care Facility, Mentally Retarded | 129 W Allegheny Ave, Philadelphia, PA 19133-3916 | 2007-07-11 |
| 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 |
| 1114141769 | Overbrook Friedlander Programs | Intermediate Care Facility, Mentally Retarded | 1900 Wynnewood Rd, Philadelphia, PA 19151-2535 | 2007-04-13 |
| 1790908853 | Merakey Woodhaven | Intermediate Care Facility, Mentally Retarded | 2900 Southampton Rd, Philadelphia, PA 19154-1202 | 2007-04-10 |
| 1174644488 | Merakey Philadelphia | Intermediate Care Facility, Mentally Retarded | 2016 Robbins Ave, Philadelphia, PA 19149-2921 | 2007-04-03 |
| 1033244454 | Kencrest Services | Intermediate Care Facility, Mentally Retarded | 1 Waterman Ave, Philadelphia, PA 19118-3625 | 2007-02-23 |
| 1669507182 | Kencrest Services | Intermediate Care Facility, Mentally Retarded | 6341 Ridge Ave, Philadelphia, PA 19128-2527 | 2007-02-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19119 |
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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.