NPIMap

Organization Active NPI

Tabor Children'S Services Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Philadelphia, PA
National Provider Identifier
1003241365
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
100003856 Issued in PA
Legal business name
TABOR CHILDREN'S SERVICES INC.
Practice address
3700 Spring Garden St
Philadelphia, PA 19104-2354
Phone
(215) 842-4800
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Edward Haussmann, PHD
Title
Cio
Phone
(215) 842-4800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 100003856 PA Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 100003856 PA

Addresses

Primary practice location

3700 Spring Garden St
Philadelphia, PA 19104-2354

Mailing address

601 New Britain Rd
Doylestown, PA 18901-2788
Phone (215) 842-4800

Other identifiers 1

IdentifierTypeStateIssuer
1000038560020OtherPAPA DPW

National Provider Directory

National Provider Directory
Tax ID family
Tabor Children'S Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1003241365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NEW BRITAIN RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012788",
            "telephone_number": "215-842-4800",
            "fax_number": "215-348-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042354",
            "telephone_number": "215-842-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR CHILDREN'S SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "HAUSSMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CIO",
        "authorized_official_telephone_number": "215-842-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "PA",
            "license": "100003856",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "100003856",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA DPW",
            "identifier": "1000038560020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.