Organization Active NPI

Philadelphia Health Management Corp

  • Case Manager/Care Coordinator
  • Philadelphia, PA
National Provider Identifier
1407994684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
PHILADELPHIA HEALTH MANAGEMENT CORP
Practice address
260 S Broad St
18TH Floor
Philadelphia, PA 19102-5021
Phone
(215) 985-6233
Fax
(267) 765-2360
NPI assigned
Feb 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carla Walker
Title
Billing Coordinator
Phone
(215) 985-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

260 S Broad St
18TH Floor
Philadelphia, PA 19102-5021

Mailing address

260 S Broad St
18TH Floor
Philadelphia, PA 19102-5021
Phone (215) 985-6233

Other names 1

  • ChildLink Program Other name

National Provider Directory

National Provider Directory
Tax ID family
Public Health Managment Corporation40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407994684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S BROAD ST",
            "address_2": "18TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191025021",
            "telephone_number": "215-985-6233",
            "fax_number": "267-765-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S BROAD ST",
            "address_2": "18TH FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191025021",
            "telephone_number": "215-985-6233",
            "fax_number": "267-765-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA HEALTH MANAGEMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "215-985-6233"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChildLink Program",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 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.