St Edmond'S Home for Children

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

ST EDMOND'S HOME FOR CHILDREN

Practice address

701 County Line Rd
Villanova, PA 19085-1510

Phone

(610) 525-8800

NPI assigned

Sep 12, 2023

Organization subpart

No

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

Authorized official

Name

Dawn Engel

Title

Hipaa Officer

Phone

(610) 525-8800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 39G444

Legal name

ST EDMOND'S HOME FOR CHILDREN VILLANOVA

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Dec 6, 2024

Last certification

Jul 17, 2025

Beds

4

Ownership / control type

Private (non-profit)

Facility address

701 County Line Road
Villanova, PA 19085

Tax ID family

St Edmond'S Home for Children3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• St Edmond'S Home for Children

  • Intellectual Disabilities Intermediate Care Facility
  • Bryn Mawr, PA
  • NPI 1073646410
  NPD tax ID
• St Edmond'S Home for Children

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Newtown Square, PA
  • NPI 1528833993
  NPD tax ID

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1063299147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S ROBERTS RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101238",
            "telephone_number": "610-525-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COUNTY LINE RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851510",
            "telephone_number": "610-525-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST EDMOND'S HOME FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "ENGEL",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "HIPAA OFFICER",
        "authorized_official_telephone_number": "610-525-8800"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cailey Ryan, ATC
• Jodi Sue Sandos, MSW
• Lisa Semels, M.S.P.T.
• David A Simmons, MD
• Carol A. Smith, MS, NCC, LPC
• Christine S Stanko, M.D.
• John Willard Steele, ATC
• Suburban Psychological Services, Inc.
• Joel D. Swartz, MD
• Nicholas Tainter, DPT

• Intellectual Disabilities Intermediate Care Facility in Villanova, PA
• Providers in Villanova, PA by specialty
• Intellectual Disabilities Intermediate Care Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.