3300 Henry Avenue Operating Company, LP

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

3300 HENRY AVENUE OPERATING COMPANY, LP

Practice address

3300 Henry Ave
Philadelphia, PA 19129-1121

Phone

(215) 297-5555

NPI assigned

Aug 1, 2013

Organization subpart

No

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

Authorized official

Name

Kimberly Kenworthy

Title

Sr. Director Revenue Cycle MGMT

Phone

(716) 361-6636

Specialties & licenses 2

Addresses

Other names 1

• Pediatric Specialty Care at Philadelphia Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harry P Bramley, DO

  • Pediatrics Physician
  • Hershey, PA
  • NPI 1598715088
  NPD (past)
• Megan Elizabeth Durham, MD

  • Pediatrics Physician
  • Lancaster, PA
  • NPI 1598268658
  NPD (past)

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1477985372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SENECA ST STE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041963",
            "telephone_number": "716-361-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HENRY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191291121",
            "telephone_number": "215-297-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3300 HENRY AVENUE OPERATING COMPANY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "SR. DIRECTOR REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "716-361-6636"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Specialty Care at Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Specialty Care at Philadelphia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Philadelphia, PA
• Nursing Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.