Prospect DCMH, LLC

Primary specialty

Rehabilitation Hospital UnitTaxonomy code 273Y00000X

Legal business name

PROSPECT DCMH, LLC

Practice address

501 N Lansdowne Ave
Drexel Hill, PA 19026-1114

Phone

(610) 284-8100

Fax

(610) 619-7331

NPI assigned

Apr 28, 2016

Last updated

Jan 11, 2021By 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

Robert Jon Elders

Title

Secretary

Phone

(714) 788-1249

Specialties & licenses 1

Addresses

Other names 1

• inpatient rehab Other name

Locations

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.

• Michael Pisano, MSPA-C

  • Physician Assistant
  • Norristown, PA
  • NPI 1427154186
  NPD (past)

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1164877049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-284-8100",
            "fax_number": "610-619-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N LANSDOWNE AVE",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261114",
            "telephone_number": "610-284-8100",
            "fax_number": "610-619-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT DCMH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "ELDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-788-1249"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "inpatient rehab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "inpatient rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thomas F Prestel, M.D.
• Brenda Shorter Price, APRN BC
• Prospect DCMH, LLC (First Step Treatment Center of DCMH)
• Prospect DCMH, LLC (Delaware County Memorial Hospital)
• Prospect DCMH, LLC
• Prospect DCMH, LLC
• Prospect DCMH, LLC
• Prospect DCMH, LLC
• Prospect DCMH, LLC (Certified Recovery Specialist Services at DCMH)
• Prospect DCMH, LLC

• Rehabilitation Hospital Unit in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Rehabilitation Hospital Unit in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.