NPIMap

Organization Active NPI

Living Independently for Elders

  • Exclusive Provider Organization
  • Phila, PA
National Provider Identifier
1598088494
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
LIVING INDEPENDENTLY FOR ELDERS
Practice address
4508 Chestnut St
Phila, PA 19139-3608
Phone
(215) 573-7200
NPI assigned
Mar 5, 2010
Last updated
Mar 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Prof. Gwen LechNPI 1023398724
Title
Nurse Practitioner
Phone
(215) 386-1094

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

4508 Chestnut St
Phila, PA 19139-3608

Mailing address

4508 Chestnut St
Phila, PA 19139-3608
Phone (215) 573-7200

National Provider Directory

National Provider Directory
Tax ID family
Ortho Outpatient Dept44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1598088494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 CHESTNUT ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191393608",
            "telephone_number": "215-573-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 CHESTNUT ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191393608",
            "telephone_number": "215-573-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING INDEPENDENTLY FOR ELDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-05",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "LECH",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "215-386-1094",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.