Active NPI
Elwyn of Pennsylvania and Delaware
- Mental Illness Community Based Residential Treatment Facility
- Elwyn, PA
National Provider Identifier
1639219207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- ELWYN OF PENNSYLVANIA AND DELAWARE
- Practice address
- 111 Elwyn Rd
Natale-Adult RTF
Elwyn, PA 19063-4622 - Phone
- (610) 891-2092
- NPI assigned
- Feb 6, 2007
- Last updated
- May 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Donna Busch
- Title
- Dir Payer Contracting/Cedentialing
- Phone
- (445) 206-3028
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary | |
| Psychiatric Residential Treatment Facility | 323P00000X | NU |
Addresses
Primary practice location
111 Elwyn Rd
Natale-Adult RTF
Elwyn, PA 19063-4622
Mailing address
111 Elwyn Rd
Elwyn, PA 19063-4622
Phone (610) 891-2092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000021240496 | Medicaid | PA |
Other names 1
- Elwyn Adult Residential Treatment Facility
National Provider Directory
National Provider Directory- Tax ID family
- Elwyn Aston
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.
-
- Case Management Agency
- Allentown, PA
- NPI 1366698201
-
- Early Intervention Provider Agency
- Philadelphia, PA
- NPI 1396995411
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1417345455
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Glenolden, PA
- NPI 1457485955
-
- Case Management Agency
- Elwyn, PA
- NPI 1528108875
-
- Local Education Agency (LEA)
- Elwyn, PA
- NPI 1568501799
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Elwyn, PA
- NPI 1568502607
-
- Case Management Agency
- Elwyn, PA
- NPI 1619017969
-
- Clinic/Center
- Elwyn, PA
- NPI 1669637898
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1689870545
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Elwyn, PA
- NPI 1700926847
-
- Community/Behavioral Health Agency
- Elwyn, PA
- NPI 1720128390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1639219207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 ELWYN RD",
"city": "ELWYN",
"state": "PA",
"postal_code": "190634622",
"telephone_number": "610-891-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 ELWYN RD",
"address_2": "NATALE-ADULT RTF",
"city": "ELWYN",
"state": "PA",
"postal_code": "190634622",
"telephone_number": "610-891-2092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELWYN OF PENNSYLVANIA AND DELAWARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A",
"authorized_official_last_name": "BUSCH",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "DIR PAYER CONTRACTING/CEDENTIALING",
"authorized_official_telephone_number": "445-206-3028",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000021240496",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Elwyn Adult Residential Treatment Facility",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Elwyn Adult Residential Treatment Facility",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elwyn, PA
- 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)
- Elwyn of Pennsylvania and Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.