Active NPI
Elwyn
- Community/Behavioral Health Agency
- Elwyn, PA
National Provider Identifier
1417345455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ELWYN
- Practice address
- 111 Elwyn Rd
Elwyn, PA 19063-4622 - Phone
- (610) 891-2000
- NPI assigned
- Dec 29, 2014
- Last updated
- Dec 29, 2014
- 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
- Sr. VP and Coo
- Phone
- (610) 891-2021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
111 Elwyn Rd
Elwyn, PA 19063-4622
Mailing address
111 Elwyn Rd
Elwyn, PA 19063-4622
Phone (610) 891-2000
Other names 1
- Elwyn Unity Villa
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 1235335191
-
- Clinic/Center
- Philadelphia, PA
- NPI 1255573093
-
- Community/Behavioral Health Agency
- Lehigh Valley, PA
- NPI 1275789117
-
- Intellectual Disabilities Intermediate Care Facility
- Boothwyn, PA
- NPI 1306979133
-
- 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
-
- 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
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Elwyn, PA
- NPI 1568502607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1419811200000",
"number": "1417345455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELWYN RD",
"city": "ELWYN",
"state": "PA",
"postal_code": "190634622",
"telephone_number": "610-891-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ELWYN RD",
"city": "ELWYN",
"state": "PA",
"postal_code": "190634622",
"telephone_number": "610-891-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELWYN",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-29",
"last_updated": "2014-12-29",
"status": "A",
"authorized_official_last_name": "REARDON",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "SR. VP AND COO",
"authorized_official_telephone_number": "610-891-2021",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elwyn Unity Villa",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elwyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.