Southeastern Health of Pennsylvania, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

747205 Issued in PA

Legal business name

SOUTHEASTERN HEALTH OF PENNSYLVANIA, INC

Practice address

101 Plaza Dr
Downingtown, PA 19335-5301

Phone

(610) 269-9876

Fax

(610) 269-9566

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William Benjamin Davis, MBA

Title

Vice President of Finance

Phone

(215) 788-3900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Southeastern Health Services of Pennsylvania Other name

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306888151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PLAZA DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193355301",
            "telephone_number": "610-269-9876",
            "fax_number": "610-269-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAZA DR",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193355301",
            "telephone_number": "610-269-9876",
            "fax_number": "610-269-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN HEALTH OF PENNSYLVANIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "215-788-3900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "747205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011101600002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern Health Services of Pennsylvania",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelsey Smith, LCSW
• Deanna Bennett Sofie, MA
• Olayanju Yetunde Sogunro, NP
• Kruti Dharmendra Solanki
• Haley Sorrentino, DPT
• Southeastern Health Services of Pennsylvania, Inc.
• Courtney Specht
• Speechful Solutions LLC
• Sara Anne Sperber, N.P.
• Spotlyte Behavioral Health of Pennsylvania PC

• Home Health Agency in Downingtown, PA
• Providers in Downingtown, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.