NPIMap

Organization Active NPI

Childway Pediatric Services, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Lansdale, PA
National Provider Identifier
1619264462
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
137150 Issued in PA
Legal business name
CHILDWAY PEDIATRIC SERVICES, INC.
Practice address
607 E Main St
Lansdale, PA 19446-2935
Phone
(215) 362-4950
Fax
(215) 997-8760
NPI assigned
Jun 30, 2011
Last updated
Oct 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Mr. Christopher C Jordan
Title
Ceo
Phone
(215) 808-4860

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 139840 PA
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 137150 PA Primary

Addresses

Primary practice location

607 E Main St
Lansdale, PA 19446-2935

Mailing address

607 E Main St
Lansdale, PA 19446-2935
Phone (215) 808-4860

National Provider Directory

National Provider Directory
Tax ID family
Childway Pediatric Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

607 E Main St
Lansdale, PA 19446
Phone (215) 362-4950

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1619264462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 E MAIN ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462935",
            "telephone_number": "215-808-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 E MAIN ST",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194462935",
            "telephone_number": "215-362-4950",
            "fax_number": "215-997-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDWAY PEDIATRIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-808-4860",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "139840",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "137150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.