NPIMap

Organization Active NPI

Judith Creed Homes for Adult Independence, Inc.

  • Public Health or Welfare Agency
  • Bryn Mawr, PA
National Provider Identifier
1447688734
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
180590 Issued in PA
Legal business name
JUDITH CREED HOMES FOR ADULT INDEPENDENCE, INC.
Practice address
274 S Bryn Mawr Ave
Bryn Mawr, PA 19010-2105
Phone
(610) 922-2480
Fax
(610) 520-4705
NPI assigned
Oct 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Stacy Levitan, ESQ.
Title
Executive Director
Phone
(610) 922-2480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 180590 PA Primary

Addresses

Primary practice location

274 S Bryn Mawr Ave
Bryn Mawr, PA 19010-2105

Mailing address

274 S Bryn Mawr Ave
Bryn Mawr, PA 19010-2105
Phone (610) 922-2480

Other identifiers 1

IdentifierTypeStateIssuer
100000872MedicaidPA

Other names 1

  • JCHAI Other name

National Provider Directory

National Provider Directory
Tax ID family
Jchai3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

274 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 922-2480

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1447688734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 S BRYN MAWR AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102105",
            "telephone_number": "610-922-2480",
            "fax_number": "610-520-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 S BRYN MAWR AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102105",
            "telephone_number": "610-922-2480",
            "fax_number": "610-520-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH CREED HOMES FOR ADULT INDEPENDENCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "LEVITAN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "610-922-2480",
        "authorized_official_credential": "ESQ."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "180590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000872",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JCHAI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.