Organization Active NPI

Delanco Healthcare Belmont & Parkside LP

  • Nursing Care Agency
  • Philadelphia, PA
National Provider Identifier
1487726089
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
193902 Issued in PA
Legal business name
DELANCO HEALTHCARE BELMONT & PARKSIDE LP
Practice address
4400 W Girard Ave
Philadelphia, PA 19104-3434
Phone
(215) 477-1170
Fax
(215) 879-0180
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Nathaniel Glenn Jr., NHA
Title
Administrator
Phone
(215) 477-1170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 193902 PA Primary

Addresses

Primary practice location

4400 W Girard Ave
Philadelphia, PA 19104-3434

Mailing address

4400 W Girard Ave
Philadelphia, PA 19104-3434
Phone (215) 477-1170

Other identifiers 2

IdentifierTypeStateIssuer
001997000OtherIBC
0019201230001MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1487726089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043434",
            "telephone_number": "215-477-1170",
            "fax_number": "215-879-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W GIRARD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043434",
            "telephone_number": "215-477-1170",
            "fax_number": "215-879-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELANCO HEALTHCARE BELMONT & PARKSIDE LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-477-1170",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": "193902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "001997000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019201230001",
            "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 Apr 13, 2010; 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.