LIFE OF PURPOSE - PENNSYLVANIA (NPI# 1992251326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992251326 |
| Entity Type | Organization |
| Organization Name | LIFE OF PURPOSE - PENNSYLVANIA |
| Practice Address |
1035 Virginia Dr Ste 120 Fort Washington PA 19034-3103 |
| Mailing Address |
Po Box 826742 Philadelphia PA 19182-6742 |
| Practice Telephone | 8776369322 |
| Practice Fax Number | 8664174309 |
| Mailing Telephone | 8776369322 |
| Mailing Fax Number | 8664174309 |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2019-01-25 |
| Authorized Official Name | BRANDEN COLUCCIO (CFO) |
| Authorized Official Telephone | 2679078000 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFE OF PURPOSE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
467132 | PA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602552 | Life of Purpose - Pennsylvania | Clinic/Center | 225 E City Ave Ste 15, Bala Cynwyd, PA 19004-1724 | 2016-07-13 |
| 1174908479 | Life of Purpose - Pennsylvania | Clinic/Center | 90 W Afton Ave Ste 101, Yardley, PA 19067-1421 | 2015-07-28 |
| Street Address |
1035 VIRGINIA DR STE 120 |
| City | FORT WASHINGTON |
| State | PA |
| Zip Code | 19034-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376038810 | Child and Family Focus, Inc. | Community/Behavioral Health | 800 Losh Alsh Avenue, Fort Washington, PA 19034 | 2018-06-27 |
| 1902398688 | Axia Ambulatory Surgery Center | Clinic/Center | 476 Pennsylvania Ave, Suite 202b, Fort Washington, PA 19034 | 2018-05-30 |
| 1336691245 | Elverl Fully | Registered Nurse | 500 Office Center Drive, Suite 400, The Ellison's Nursing Group, LLC, Fort Washington, PA 19034 | 2016-10-26 |
| 1881140028 | Sulvena Pierre | Licensed Practical Nurse | 500 Office Center Drive, Suite 400 Fort Washington, Fort Washington, PA 19034 | 2016-08-28 |
| 1730536145 | Robert Slauch | Dentist | 467 Pennsylvania Ave Ste 201, Fort Washington, PA 19034 | 2016-05-16 |
| 1699145821 | Anna Oldfield | Nurse Practitioner | 735 Susquehanna Rd, Fort Washington, PA 19034 | 2015-09-30 |
| 1598149247 | Victoria T Adepoju | Licensed Practical Nurse | 500 Office Centre Drive Suite 400, Fort Washinghton, PA 19034 | 2015-07-13 |
| 1700210408 | Wendy Lynn Holmes | Physical Therapy Assistant | 735 Susquehanna Rd., Fort Washington Estates, Fort Washington, PA 19034 | 2013-08-29 |
| 1629316567 | The Ellison Nursing Group | Licensed Practical Nurse | 500 Office Center Drive, Suite 400, Fort Washington, PA 19034 | 2013-01-28 |
| 1841540416 | Barbara Portnoy | Dentist | 1244 Ft. Washington Ave., Suite M-1, Fort Washington, PA 19034 | 2012-09-11 |
| Find all providers in zip 19034 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816204 | Source Behavioral Health Services, LLC | Clinic/Center | 301 Oxford Valley Rd Ste 1302, Yardley, PA 19067-7706 | 2020-06-22 |
| 1780218594 | Davis Archway Centers for Addiction Treatment, Inc. | Clinic/Center | 114 Courson Ln, Emlenton, PA 16373-2502 | 2020-03-02 |
| 1871125625 | New Hope Community Medical Care LLC | Clinic/Center | 2602 W 9th St Ste 101, Chester, PA 19013-2089 | 2020-02-10 |
| 1528699931 | Caron Outpatient Services, LLC | Clinic/Center | 401 Plymouth Rd Ste 325, Plymouth Meeting, PA 19462-1650 | 2020-02-04 |
| 1124658331 | White Oak Wellness | Clinic/Center | 1966 Lincoln Way Ste 100, White Oak, PA 15131-2416 | 2020-01-16 |
| 1518517283 | Peace Valley Recovery | Clinic/Center | 5230 York Rd, Doylestown, PA 18902-1736 | 2019-09-16 |
| 1841853256 | Trinity Recovery LLP | Clinic/Center | 1311 E State St, Sharon, PA 16146-3246 | 2019-04-22 |
| 1861950909 | Advanced Treatment Centers LLC | Clinic/Center | 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 | 2019-03-07 |
| 1467918722 | Melissa Francomacaro | Clinic/Center | 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 | 2019-02-12 |
| 1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
| City | FORT WASHINGTON |
| Zip Code | 19034 |
Please comment or provide details below to improve the information on LIFE OF PURPOSE - PENNSYLVANIA.
| 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.