Bancroft Neurohealth

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

135180 Issued in PA

Legal business name

BANCROFT NEUROHEALTH

Practice address

26 Bala Ave
Bala Cynwyd, PA 19004-3155

Phone

(610) 668-1325

Fax

(610) 747-0294

NPI assigned

Mar 23, 2007

Organization subpart

No

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

Authorized official

Name

Sharon E Williams-Taylor, M.S. STLDR

Title

Senior Director

Phone

(610) 747-0290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Walker Memorial Training Center Former legal business name

Tax ID family

Bancroft Neurohealth249 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

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

• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Broomall, PA
  • NPI 1114044112
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
  • NPI 1245357094
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bryn Mawr, PA
  • NPI 1497872410
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wynnewood, PA
  • NPI 1699892968
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bryn Mawr, PA
  • NPI 1730206749
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bryn Mawr, PA
  • NPI 1780701789
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
  • NPI 1790802544
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Broomall, PA
  • NPI 1801919915
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Merion Station, PA
  • NPI 1972620722
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
  • NPI 1982721734
  NPD tax ID

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1578680591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 OLD LANCASTER RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661526",
            "telephone_number": "610-747-0290",
            "fax_number": "610-747-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043155",
            "telephone_number": "610-668-1325",
            "fax_number": "610-747-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT NEUROHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-TAYLOR",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "610-747-0290",
        "authorized_official_credential": "M.S.  STLDR"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "135180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101112176-0020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Walker Memorial Training Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bala Medical, Inc
• Bala Orthodontics, LLC
• Bala Podiatry Associates
• Bala Spine & Wellness
• Ellen Balze, PH.D.
• Jessica A. Banji-Ajala
• Stephanie Monique Banks, DPT
• Ashley Bannister, RD, LDN
• Ronald Bruce Barg, MD
• Michael Alec Barnett, MD

• All providers in Bala Cynwyd, PA
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.