NPIMap

Organization Active NPI

Tabor Children's Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
National Provider Identifier
1255673927
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
100003856 Issued in PA
Legal business name
TABOR CHILDREN'S SERVICES
Practice address
6667 Musgrave St
Philadelphia, PA 19119-2266
Phone
(215) 842-4800
Fax
(215) 842-4809
NPI assigned
Mar 20, 2013
Last updated
Mar 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Robert Edward Haussmann, PHD
Title
Executive Director
Phone
(215) 842-4800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 100003856 PA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 100003856 PA Primary

Addresses

Primary practice location

6667 Musgrave St
Philadelphia, PA 19119-2266

Mailing address

601 New Britain Rd
Doylestown, PA 18901-2788
Phone (215) 842-4800

Other identifiers 1

IdentifierTypeStateIssuer
100003856OtherPAPROMISE

National Provider Directory

National Provider Directory
Tax ID family
Tabor Children's Services6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1255673927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NEW BRITAIN RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012788",
            "telephone_number": "215-842-4800",
            "fax_number": "215-348-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 MUSGRAVE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192266",
            "telephone_number": "215-842-4800",
            "fax_number": "215-842-4809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR CHILDREN'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "HAUSSMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-842-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "PA",
            "license": "100003856",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "100003856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROMISE",
            "identifier": "100003856",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.