Elderly and Disabled Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

314294 Issued in PA

Legal business name

ELDERLY AND DISABLED SERVICES, LLC

Doing business as

Ridge Avenue Eldercare Servces

Practice address

2653 W Glenwood Ave
Philadelphia, PA 19121-5258

Phone

(215) 684-2464

Fax

(215) 684-2551

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Linda Staley

Title

Board Member

Phone

(267) 784-3217

Specialties & licenses 2

Addresses

Other names 1

• Ridge Avenue Eldercare Servces Doing business as

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1093940678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 W GLENWOOD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191215258",
            "telephone_number": "215-684-2464",
            "fax_number": "215-684-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2653 W GLENWOOD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191215258",
            "telephone_number": "215-684-2464",
            "fax_number": "215-684-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERLY AND DISABLED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "267-784-3217",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "PA",
            "license": "314294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridge Avenue Eldercare Servces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elder Pal Healthcare Inc
• David E Elder, MD
• Demian Elder, M.D.
• Ryan William Elder
• Elder'Sview, LLC.
• Elderly Care Group LLC
• Elderly Home I Care LLC
• Elders Come First
• Elders Come First
• Elderwatch Plus

• Adult Day Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Adult Day Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.