Organization Active NPI

Safe and Sound Support Coordination Agency, LLC

  • Case Manager/Care Coordinator
  • Philadelphia, PA
National Provider Identifier
1639646870
Registry record updated Oct 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
SAFE AND SOUND SUPPORT COORDINATION AGENCY, LLC
Practice address
1263 S Newkirk St
Philadelphia, PA 19146-3625
Phone
(215) 292-8334
NPI assigned
Oct 25, 2018
Last updated
Oct 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2018

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

Authorized official

Name
Mrs. Valerie Marie Dewalt
Title
Owner/Ceo
Phone
(215) 292-8334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

1263 S Newkirk St
Philadelphia, PA 19146-3625

Mailing address

112 Snyder Ave
Bellmawr, NJ 08031-1137
Phone (215) 292-8334

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540425600000",
    "number": "1639646870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SNYDER AVE",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080311137",
            "telephone_number": "215-292-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 S NEWKIRK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191463625",
            "telephone_number": "215-292-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE AND SOUND SUPPORT COORDINATION AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2018-10-25",
        "status": "A",
        "authorized_official_last_name": "DEWALT",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "215-292-8334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; 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.