Active NPI
Children's Hospital of Philadelphia
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
National Provider Identifier
1033289889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 748105
- Legal business name
- CHILDREN'S HOSPITAL OF PHILADELPHIA
- Practice address
- 3000 Horizon Dr
King of Prussia, PA 19406-2626 - Phone
- (800) 866-1242
- Fax
- (610) 992-1040
- NPI assigned
- Nov 9, 2006
- Organization subpart
- Yes
- Parent organization
- CHILDREN'S HOSPITAL OF PHILADELPHIA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Ciardi, PHARM D
- Title
- Sr. Director Home Care
- Phone
- (267) 425-9089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 748105 | PA | Primary |
Addresses
Primary practice location
3000 Horizon Dr
King of Prussia, PA 19406-2626
Mailing address
3000 Horizon Dr
King of Prussia, PA 19406-2626
Phone (800) 866-1242
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6074715 | Medicaid | NJ | |
| 0002705000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1007709910003 | Medicaid | PA | |
| 1070822 | Other | PA | KEYSTONE MERCY |
| AETNA HMO | Other | PA | 3706539 |
| AETNA PPO | Other | PA | 7750646 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930010634 | PA | DME Supplier - Pharmacy | 1254324122 | Practice locations: King of Prussia, PA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Philadelphia, PA
- NPI 1467626077
1254324122
National Provider Directory
National Provider Directory- Part of
- Childrens Hospital of Philadelphia
Locations
3000 Horizon Dr
King of Prussia, PA 19406
Phone (267) 425-8888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573689600000",
"number": "1033289889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 HORIZON DR",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062626",
"telephone_number": "800-866-1242",
"fax_number": "610-992-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HORIZON DR",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062626",
"telephone_number": "800-866-1242",
"fax_number": "610-992-1040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
"enumeration_date": "2006-11-09",
"last_updated": "2019-11-14",
"status": "A",
"authorized_official_last_name": "CIARDI",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "SR. DIRECTOR HOME CARE",
"authorized_official_telephone_number": "267-425-9089",
"authorized_official_credential": "PHARM D"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "748105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6074715",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0002705000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007709910003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "1070822",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "3706539",
"identifier": "AETNA HMO",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "7750646",
"identifier": "AETNA PPO",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in King of Prussia, PA
- Che Senior Care Therapy Services PC
- Douglas Cheng, PT
- Valerie K. Cheng, PH.D.
- Chaitali Laxmichand Chheda
- Kelsie Chikezie, ASST BA
- Children's Hospital of Philadelphia (Children's Hospital Home Care)
- Children's Hospital of Philadelphia (Specialty Care Center at King of Prussia)
- Children's Hospital of Philadelphia (Children's Hospital Home Care)
- Children's Hospital of Philadelphia (CHOP Integrative Health)
- Children's Hospital of Philadelphia (Surgery Center at King of Prussia)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.