Amudipes Service Coordinator Agency

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

AMUDIPES SERVICE COORDINATOR AGENCY

Practice address

90 Norristown Rd
Blue Bell, PA 19422-2802

Phone

(215) 793-0433

Fax

(267) 295-2644

NPI assigned

Oct 9, 2012

Last updated

Oct 9, 2012By 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

Mrs. Ellen Amudipe

Title

President

Phone

(215) 793-0433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1114279544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 NORRISTOWN RD",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222802",
            "telephone_number": "215-793-0433",
            "fax_number": "267-295-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 NORRISTOWN RD",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194222802",
            "telephone_number": "215-793-0433",
            "fax_number": "267-295-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMUDIPES SERVICE COORDINATOR AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "AMUDIPE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-793-0433",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Blue Bell, PA
• Providers in Blue Bell, PA by specialty
• Case Management Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.