Elwyn of Pennsylvania and Delaware

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ELWYN OF PENNSYLVANIA AND DELAWARE

Practice address

111 Elwyn Rd
Zenith Children's RTF
Elwyn, PA 19063-4622

Phone

(610) 891-2342

NPI assigned

Aug 8, 2019

Last updated

Feb 9, 2022By 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

Donna Busch

Title

Payer Contract Specialist

Phone

(106) 639-6932

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Zenith Children's RTF Other name

Tax ID family

Delaware Elwyn CTT61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Elwyn

  • Intellectual Disabilities Intermediate Care Facility
  • Boothwyn, PA
  • NPI 1306979133
  NPD tax ID
• Elwyn

  • Intellectual Disabilities Intermediate Care Facility
  • Elwyn, PA
  • NPI 1316248248
  NPD tax ID
• Elwyn

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Glenolden, PA
  • NPI 1336273523
  NPD tax ID
• Elwyn

  • Case Management Agency
  • Allentown, PA
  • NPI 1366698201
  NPD tax ID
• Elwyn

  • Early Intervention Provider Agency
  • Philadelphia, PA
  • NPI 1396995411
  NPD tax ID
• Elwyn

  • Community/Behavioral Health Agency
  • Elwyn, PA
  • NPI 1417345455
  NPD tax ID
• Elwyn

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Glenolden, PA
  • NPI 1457485955
  NPD tax ID
• Elwyn

  • Case Management Agency
  • Elwyn, PA
  • NPI 1528108875
  NPD tax ID
• Elwyn

  • Local Education Agency (LEA)
  • Elwyn, PA
  • NPI 1568501799
  NPD tax ID
• Elwyn

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Elwyn, PA
  • NPI 1568502607
  NPD tax ID
• Elwyn

  • Case Management Agency
  • Elwyn, PA
  • NPI 1619017969
  NPD tax ID
• Elwyn

  • Clinic/Center
  • Elwyn, PA
  • NPI 1669637898
  NPD tax ID

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1548815392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "address_2": "ZENITH CHILDREN'S RTF",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "302-891-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELWYN RD",
            "address_2": "ZENITH CHILDREN'S RTF",
            "city": "ELWYN",
            "state": "PA",
            "postal_code": "190634622",
            "telephone_number": "610-891-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELWYN OF PENNSYLVANIA AND DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PAYER CONTRACT SPECIALIST",
        "authorized_official_telephone_number": "106-639-6932"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000021240229",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zenith Children's RTF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elwyn Health Services of Pennsylvania PC
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware
• Elwyn of Pennsylvania and Delaware (Elwyn Adult Crisis Residential)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Elwyn, PA
• Providers in Elwyn, PA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.