LEGENDARY CARES (NPI# 1982159505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982159505 |
| Entity Type | Organization |
| Organization Name | LEGENDARY CARES |
| Practice Address |
7338 Brockton Rd Philadelphia PA 19151-2238 |
| Practice Telephone | 2679340368 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Authorized Official Name | JAMES PETTAWAY (OWNER) |
| Authorized Official Telephone | 2679340368 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
7338 BROCKTON RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19151-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841745015 | James Pettaway | Contractor | 7338 Brockton Rd, Philadelphia, PA 19151-2238 | 2016-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860145 | Antonio Mayhew | Home Health | 1244 N 64th St, Philadelphia, PA 19151 | 2020-04-21 |
| 1477078913 | Nikisha Davis | Marriage & Family Therapist | 7621 Brookhaven Road, Philadelphia, PA 19151 | 2017-08-05 |
| 1376066092 | Kialenah Stewart | Technician | 451 N Edgewood Street, Philadelphia, PA 19151 | 2017-07-25 |
| 1922413186 | My Community My Way | Day Training, Developmentally Disabled Services | 1715 North Felton Street, Philadelphia, PA 19151 | 2014-06-26 |
| 1245670033 | Harcum Healthcare Group, LLC | Home Health | 7401 Woodbine Avenue, Philadelphia, PA 19151 | 2013-06-26 |
| 1639515687 | Daniel A Rader | Dentist | 7300 City Ave Suite 210, Phila, PA 19151 | 2013-05-17 |
| 1053632547 | Nalini Venkateswaran | Pharmacist | 7564-7570 Haverford Avenue, Rite Aid Pharmacy, Philadelphia, PA 19151 | 2010-06-18 |
| 1740494533 | Suburban Rehabilitation Associates, LLC | Orthopaedic Surgery | 7225 Haverford Avenue, Philadelphia, PA 19151 | 2007-05-10 |
| 1902027741 | Ndeye Aissatou Lo | Pharmacist | 7564 Haverford Ave, Philadelphia, PA 19151 | 2007-05-01 |
| 1629295076 | Gaudenzia Inc | Clinic/Center | 701 North 63rd Street, Philadelphia, PA 19151 | 2007-04-19 |
| Find all providers in zip 19151 | ||||
| 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 | 19151 |
Please comment or provide details below to improve the information on LEGENDARY CARES.
| 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.