NPIMap

Organization Active NPI

Salt Special Needs ( SC)

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
National Provider Identifier
1407278880
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
SALT SPECIAL NEEDS ( SC)
Practice address
6604 Glenloch St
Philadelphia, PA 19135-2719
Phone
(215) 951-0300
NPI assigned
Jan 20, 2014
Organization subpart
Yes
Parent organization
RESOURCES FOR HUMAN DEVELOPMENT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Authorized official

Name
Dyann Roth
Title
Ceo
Phone
(215) 951-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

6604 Glenloch St
Philadelphia, PA 19135-2719

Mailing address

4700 Wissahickon Ave
Suite 126
Philadelphia, PA 19144-4248
Phone (215) 951-0300

Other identifiers 1

IdentifierTypeStateIssuer
100001708MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Wilmington Now RHD285 organizations share this tax ID, including this one
Part of
Wilmington Now RHD

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1407278880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE",
            "address_2": "SUITE 126",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "215-951-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6604 GLENLOCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191352719",
            "telephone_number": "215-951-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT SPECIAL NEEDS ( SC)",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RESOURCES FOR HUMAN DEVELOPMENT, INC",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "DYANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-951-0300"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001708",
            "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 Jan 20, 2014; 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.