Proactive Support Coordination Agency LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PROACTIVE SUPPORT COORDINATION AGENCY LLC

Practice address

4949 Frankford Ave
Philadelphia, PA 19124-2669

Phone

(215) 613-6290

NPI assigned

Jul 3, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Aboubakar Sidiki Sylla

Title

Ceo

Phone

(215) 880-5076

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rokyatou Sylla

  • Case Manager/Care Coordinator
  • Philadelphia, PA
  • NPI 1285296806
  NPD (past)

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1306229695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 S 68TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191423321",
            "telephone_number": "215-880-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242669",
            "telephone_number": "215-613-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE SUPPORT COORDINATION AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "SYLLA",
        "authorized_official_first_name": "ABOUBAKAR",
        "authorized_official_middle_name": "SIDIKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-880-5076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galina Privorotsky, M.D.
• Pro Health Services LLC
• Pro-Tech Ambulance Company, Inc.
• Unah Pro, MD
• Proactive Physical Medicine, LLC
• Alvaro Leonidas Proano Falconi, MD
• Allan Probert
• Daniela M Proca, MD
• Pasquale M Procacci, MD
• Jennifer A Procaccino, RPH, PHARMD

• Case Management Agency in Philadelphia, PA
• Providers in Philadelphia, 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 Jul 3, 2015; 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.