NPIMap

Organization Active NPI

Edella Street Associates

  • Assisted Living Facility
  • Clarks Summit, PA
National Provider Identifier
1104852987
Registry record updated Nov 16, 2011
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Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
243030 Issued in PA
Legal business name
EDELLA STREET ASSOCIATES
Doing business as
Willowbrook Assisted Living Community
Practice address
150 Edella Rd
Clarks Summit, PA 18411-1628
Phone
(570) 586-6028
Fax
(570) 587-1338
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Jane Dropeskey
Title
Corporate Manager
Phone
(610) 925-4231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 243030 PA Primary

Addresses

Primary practice location

150 Edella Rd
Clarks Summit, PA 18411-1628

Mailing address

101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436

Other names 1

  • Willowbrook Assisted Living Community Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1104852987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E STATE ST",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193483109",
            "telephone_number": "610-925-4436",
            "fax_number": "610-925-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 EDELLA RD",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184111628",
            "telephone_number": "570-586-6028",
            "fax_number": "570-587-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDELLA STREET ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "DROPESKEY",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "CORPORATE MANAGER",
        "authorized_official_telephone_number": "610-925-4231"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "243030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willowbrook Assisted Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.