Active NPI
Tabor Children'S Services Inc.
- Nursing Care Agency
- Philadelphia, PA
National Provider Identifier
1083769814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 1000038560010
- Legal business name
- TABOR CHILDREN'S SERVICES INC.
- Practice address
- 57 E Armat St
Philadelphia, PA 19144-2201 - Phone
- (215) 842-4800
- Fax
- (215) 842-4809
- NPI assigned
- Jan 24, 2007
- 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
- Dr. Robert Edward Haussmann, PH.D.
- Title
- Chief Information Officer
- Phone
- (215) 842-4800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 1000038560010 | PA | Primary |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 1000038560002 | PA |
Addresses
Primary practice location
57 E Armat St
Philadelphia, PA 19144-2201
Mailing address
601 New Britain Rd
Doylestown, PA 18901-2788
Phone (215) 842-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10000385600010 | Other | PA | DPW-PROMISE |
| 1000038560002 | Other | PA | PA DPW |
National Provider Directory
National Provider Directory- Tax ID family
- Tabor Children'S Services
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Philadelphia, PA
- NPI 1083164453
-
- Adolescent and Children Mental Health Clinic/Center
- Philadelphia, PA
- NPI 1124173588
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Philadelphia, PA
- NPI 1255673927
-
- Social Worker
- Philadelphia, PA
- NPI 1164637955
-
- Mental Illness Community Based Residential Treatment Facility
- Philadelphia, PA
- NPI 1003241365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306281600000",
"number": "1083769814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 NEW BRITAIN RD",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189012788",
"telephone_number": "215-842-4800",
"fax_number": "215-348-9261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 E ARMAT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191442201",
"telephone_number": "215-842-4800",
"fax_number": "215-842-4809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TABOR CHILDREN'S SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2011-05-25",
"status": "A",
"authorized_official_last_name": "HAUSSMANN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "CHIEF INFORMATION OFFICER",
"authorized_official_telephone_number": "215-842-4800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "PA",
"license": "1000038560010",
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "PA",
"license": "1000038560002",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPW-PROMISE",
"identifier": "10000385600010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA DPW",
"identifier": "1000038560002",
"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 May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.