NPIMap

Organization Active NPI

Penn Foundation Inc

  • Community/Behavioral Health Agency
  • Suite 507, PA
National Provider Identifier
1265500185
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PENN FOUNDATION INC
Practice address
Sunnybrook Village
500 Creekside Drive
Suite 507, PA 19464
Phone
(610) 819-6000
Fax
(610) 819-6004
NPI assigned
Nov 30, 2006
Last updated
Oct 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Authorized official

Name
Wayne Mugrauer, MPA
Title
President/Ceo
Phone
(215) 257-6551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

Sunnybrook Village
500 Creekside Drive
Suite 507, PA 19464

Mailing address

807 Lawn Avenue
PO Box 32
Sellersville, PA 18960
Phone (215) 257-6551

Other identifiers 2

IdentifierTypeStateIssuer
PE113171MedicaidPA
129323OtherPAHEALTH CHOICES

Other names 1

  • Assertive Community Treatment Other name

National Provider Directory

National Provider Directory
Tax ID family
Penn Foundation Inc38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

500 Creekside Dr
Ste 507
Pottstown, PA 19464
Phone (610) 819-6000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1265500185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 LAWN AVENUE",
            "address_2": "PO BOX 32",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "18960",
            "telephone_number": "215-257-6551",
            "fax_number": "215-257-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNNYBROOK VILLAGE",
            "address_2": "500 CREEKSIDE DRIVE",
            "city": "SUITE 507",
            "state": "PA",
            "postal_code": "19464",
            "telephone_number": "610-819-6000",
            "fax_number": "610-819-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "MUGRAUER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "215-257-6551",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PE113171",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CHOICES",
            "identifier": "129323",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assertive Community Treatment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.