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

320 S Roberts Rd
Bryn Mawr, PA 19010-1238

Phone

(610) 525-8800

Fax

(610) 525-2693

NPI assigned

Mar 14, 2007

Last updated

Nov 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Denise C Clofine

Title

Administrator

Phone

(610) 525-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073646410. Details of each certification follow.

• CCN 39G135 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 39G135

Legal name

ST EDMOND'S HOME FOR CHILDREN

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jun 8, 1987

Last certification

Mar 5, 2025

Beds

40

Ownership / control type

Private (non-profit)

Facility address

320 South Roberts Road
Rosemont, PA 19010

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
  • Villanova, PA
  • NPI 1063299147
  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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Carl Aronoff, MD

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1780672865
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1073646410",
    "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",
            "fax_number": "610-525-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S ROBERTS RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101238",
            "telephone_number": "610-525-8800",
            "fax_number": "610-525-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST EDMOND'S HOME FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "CLOFINE",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-525-8800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000023670005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Joseph Sprandio, M.D.
• Michelle Christine Springer, D.O.
• James F Squadrito Jr., M.D.
• Nandhini Sreedhar, MD
• Vedhapriya Srinivasan, MBBS
• Ann Kathryn St. Leger, PA-C
• Stephen Andrew Stache Jr., M.D.
• John Charles Stamps, M.S., R. AC.
• Joey Lynn Stanley, CRNP
• Ran Yehuda Stark, M.D.

• Intellectual Disabilities Intermediate Care Facility in Bryn Mawr, PA
• Providers in Bryn Mawr, 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 Nov 13, 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.