Active NPI
Elwyn
- Intellectual Disabilities Intermediate Care Facility
- Boothwyn, PA
National Provider Identifier
1306979133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- ELWYN
- Practice address
- 5240 Chichester Ave.
Boothwyn, PA 19061 - Phone
- (610) 891-7081
- NPI assigned
- Mar 13, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Daniel Reardon, MBA
- Title
- Vice President of Finance
- Phone
- (610) 891-2021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
5240 Chichester Ave.
Boothwyn, PA 19061
Mailing address
111 Elwyn Rd
CRS
Elwyn, PA 19063-4622
Phone (610) 891-7081
Other names 1
- CRS Chichester
National Provider Directory
National Provider Directory- Tax ID family
- Elwyn
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1134325095
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1235335191
-
- Clinic/Center
- Philadelphia, PA
- NPI 1255573093
-
- Community/Behavioral Health Agency
- Lehigh Valley, PA
- NPI 1275789117
-
- Intellectual Disabilities Intermediate Care Facility
- Elwyn, PA
- NPI 1316248248
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Glenolden, PA
- NPI 1336273523
-
- Case Management Agency
- Allentown, PA
- NPI 1366698201
-
- Early Intervention Provider Agency
- Philadelphia, PA
- NPI 1396995411
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1417345455
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Glenolden, PA
- NPI 1457485955
-
- Case Management Agency
- Elwyn, PA
- NPI 1528108875
-
- Local Education Agency (LEA)
- Elwyn, PA
- NPI 1568501799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306979133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELWYN RD",
"address_2": "CRS",
"city": "ELWYN",
"state": "PA",
"postal_code": "190634622",
"telephone_number": "610-891-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5240 CHICHESTER AVE.",
"city": "BOOTHWYN",
"state": "PA",
"postal_code": "19061",
"telephone_number": "610-891-7081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELWYN",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REARDON",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
"authorized_official_telephone_number": "610-891-2021",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CRS Chichester",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boothwyn, PA
- John Cole Jr., CPHT
- Consolidated Vision Group (America's Best Contacts & Eyeglasses)
- Stephanie Lynne Dangelantonio, PHARM.D
- Alfred Deprophetis, DDS
- Elizabeth L Doyle, PHARMD, RPH
- EMS Factory Inc (friendship ambulance services transport)
- Family Chiropractic Center
- Foot and Ankle Associates LLP
- Friendship Ambulance Service Transport
- Stewart Willis Gambrill Jr., D.C.
Sources for this page
- 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.