Positive Effect Outreach Ministry, Inc.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

POSITIVE EFFECT OUTREACH MINISTRY, INC.

Practice address

8711 W Chester Pike
Upper Darby, PA 19082-1115

Phone

(215) 840-2327

Fax

(610) 449-5272

NPI assigned

Oct 20, 2012

Last updated

Oct 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Elizabeth Ann Minor

Title

Executive Director

Phone

(215) 840-2327

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marguerite Chamberlain

  • Case Manager/Care Coordinator
  • Upper Darby, PA
  • NPI 1518359751
  NPD (past)
• Teikeita Maria Rollerson

  • Case Manager/Care Coordinator
  • Upper Darby, PA
  • NPI 1063982908
  NPD (past)

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350691200000",
    "number": "1538412010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 WOODBINE AVE",
            "address_2": "SUITE 312",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312535",
            "telephone_number": "215-840-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8711 W CHESTER PIKE",
            "city": "UPPER DARBY",
            "state": "PA",
            "postal_code": "190821115",
            "telephone_number": "215-840-2327",
            "fax_number": "610-449-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE EFFECT OUTREACH MINISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-20",
        "last_updated": "2012-10-20",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-840-2327",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016756100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Upper Darby, PA
• Providers in Upper Darby, PA by specialty
• Case Manager/Care Coordinator in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2012; 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.