Organization Active NPI

Elwyn of Pennsylvania and Delaware

  • Mental Illness Community Based Residential Treatment Facility
  • Elwyn, PA
National Provider Identifier
1639219207
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1000021240496MedicaidPA

Other names 1

  • Elwyn Adult Residential Treatment Facility Other name

National Provider Directory

National Provider Directory
Tax ID family
Elwyn Aston61 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.

View all 24

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

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.

Verify at the official NPI Registry.