NPIMap

Organization Active NPI

Resources for Human Development, Inc.

Doing business as Children's Outreach Services Program

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1649564402
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESOURCES FOR HUMAN DEVELOPMENT, INC.
Doing business as
Children's Outreach Services Program
Practice address
90 Rochelle Ave
Philadelphia, PA 19128-3808
Phone
(215) 508-3300
Fax
(215) 508-3304
NPI assigned
Jun 8, 2011
Last updated
Jun 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Ms. Rebecca Young
Title
Network Operations Director
Phone
(267) 597-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

90 Rochelle Ave
Philadelphia, PA 19128-3808

Mailing address

4700 Wissahickon Ave
Suite 118, Building D
Philadelphia, PA 19144-4248
Phone (267) 597-3600

Other names 1

  • Children's Outreach Services Program Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000360 PA Part B Supplier - Clinic/Group Practice 2264341510 Receives reassigned benefits from 123 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: York, PA; Philadelphia, PA; Bryn Mawr, PA

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1649564402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WISSAHICKON AVE",
            "address_2": "SUITE 118, BUILDING D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444248",
            "telephone_number": "267-597-3600",
            "fax_number": "267-597-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ROCHELLE AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191283808",
            "telephone_number": "215-508-3300",
            "fax_number": "215-508-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOURCES FOR HUMAN DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "NETWORK OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "267-597-3600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Outreach Services Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.