NPIMap

Organization Active NPI

Passavant Memorial Homes

  • Community/Behavioral Health Agency
  • Norristown, PA
National Provider Identifier
1215489745
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
439240 Issued in PA
Legal business name
PASSAVANT MEMORIAL HOMES
Practice address
2550 Eisenhower Aveune
Norristown, PA 19403-2331
Phone
(412) 820-1010
Fax
(412) 820-9246
NPI assigned
Nov 1, 2016
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Michelle Brown
Title
Utilization Coordinator
Phone
(412) 820-1010

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X NU
Licensed Practical Nurse 164W00000X NU
Community/Behavioral Health Agency 251S00000X 439240 PA Primary

Addresses

Primary practice location

2550 Eisenhower Aveune
Norristown, PA 19403-2331

Mailing address

100 Passavant Way
Pittsburgh, PA 15238-1318
Phone (412) 820-1010

Other identifiers 1

IdentifierTypeStateIssuer
100001216OtherPAMASTER PROVIDER INDEX

National Provider Directory

National Provider Directory
Tax ID family
Passavant Memorial Homes12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2550 Eisenhower Ave
Trooper, PA 19403
Phone (484) 690-0160

NPI Registry JSON

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

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1215489745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PASSAVANT WAY",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152381318",
            "telephone_number": "412-820-1010",
            "fax_number": "412-820-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 EISENHOWER AVEUNE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194032331",
            "telephone_number": "412-820-1010",
            "fax_number": "412-820-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAVANT MEMORIAL HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "UTILIZATION COORDINATOR",
        "authorized_official_telephone_number": "412-820-1010"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "439240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASTER PROVIDER INDEX",
            "identifier": "100001216",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.