Active NPI
American Emerald Awards Foundation Inc
- Developmentally Disabled Services Day Training Agency
- Philadelphia, PA
National Provider Identifier
1013373539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- AMERICAN EMERALD AWARDS FOUNDATION INC
- Practice address
- 2810 N Broad St
Philadelphia, PA 19132-2725 - Phone
- (215) 457-3009
- NPI assigned
- Jan 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nolbert Brown Jr.
- Title
- President
- Phone
- (215) 457-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
2810 N Broad St
Philadelphia, PA 19132-2725
Mailing address
2810 N Broad St
Philadelphia, PA 19132-2725
Phone (215) 457-3009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103045519 | Other | PA | MPI |
National Provider Directory
National Provider DirectoryLocations
2810 N Broad St
Philadelphia, PA 19132
Phone (215) 457-3009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1452643200000",
"number": "1013373539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191322725",
"telephone_number": "215-457-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191322725",
"telephone_number": "215-457-3009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN EMERALD AWARDS FOUNDATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-13",
"last_updated": "2016-01-13",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "NOLBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-457-3000",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MPI",
"identifier": "103045519",
"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 Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.