Organization Active NPI

Circle of Friends, Adhc, Inc

  • Adult Day Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1508357047
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
313310 Issued in PA
Legal business name
CIRCLE OF FRIENDS, ADHC, INC
Practice address
9405 Bustleton Ave
Philadelphia, PA 19115-4301
Phone
(215) 856-9100
Fax
(215) 856-7435
NPI assigned
May 21, 2018
Last updated
May 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Ms. Victoria Vaisberg
Title
Program Director
Phone
(215) 856-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 313310 PA Primary

Addresses

Primary practice location

9405 Bustleton Ave
Philadelphia, PA 19115-4301

Mailing address

9405 Bustleton Ave
Philadelphia, PA 19115-4301
Phone (215) 856-9100

National Provider Directory

National Provider Directory

Locations

9405 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 856-9100

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1508357047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154301",
            "telephone_number": "215-856-9100",
            "fax_number": "215-856-7435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 BUSTLETON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154301",
            "telephone_number": "215-856-9100",
            "fax_number": "215-856-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF FRIENDS, ADHC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "VAISBERG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "215-856-9100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "PA",
            "license": "313310",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 21, 2018; 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.