NPIMap

Organization Active NPI

Crozer Adult Day Centers - As

  • Respite Care
  • Upland, PA
National Provider Identifier
1013125418
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
300350 Issued in PA
Legal business name
CROZER ADULT DAY CENTERS - AS
Practice address
1 Medical Center Blvd
Silberman Center
Upland, PA 19013-3902
Phone
(610) 447-2935
Fax
(610) 447-2963
NPI assigned
May 18, 2007
Last updated
Jan 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Mr. Patrick Gavin
Title
Coo
Phone
(610) 447-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 300350 PA Primary

Addresses

Primary practice location

1 Medical Center Blvd
Silberman Center
Upland, PA 19013-3902

Mailing address

1 Medical Center Blvd
Chester, PA 19013-3902
Phone (610) 447-2935

Other identifiers 1

IdentifierTypeStateIssuer
1007605830119MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Crozier Chester Med Ctr28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1013125418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-2935",
            "fax_number": "610-447-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD",
            "address_2": "SILBERMAN CENTER",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "190133902",
            "telephone_number": "610-447-2935",
            "fax_number": "610-447-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROZER ADULT DAY CENTERS - AS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "610-447-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "PA",
            "license": "300350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007605830119",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.