NPIMap

Organization Active NPI

Philadelphia Health Management Corporation (PHMC) / Girlspace

  • Mental Illness Community Based Residential Treatment Facility
  • Phila, PA
National Provider Identifier
1659541472
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PHILADELPHIA HEALTH MANAGEMENT CORPORATION (PHMC) / GIRLSPACE
Practice address
111 N 49TH St # 222
2ND FL, South BLDG.
Phila, PA 19139-2718
Phone
(215) 731-2042
NPI assigned
Mar 7, 2008
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Shante Pennington
Title
Billing Coordinator
Phone
(215) 731-2042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

111 N 49TH St # 222
2ND FL, South BLDG.
Phila, PA 19139-2718

Mailing address

111 N 49TH St # 222
2ND FL, South BLDG.
Phila, PA 19139-2718

Other identifiers 1

IdentifierTypeStateIssuer
1000016640048MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Philadelphia Health Management Corporation PHMC Girlspace40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Locations

111 N 49th St
Fl 2
Philadelphia, PA 19139
Phone (215) 662-8881

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1659541472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 49TH ST # 222",
            "address_2": "2ND FL, SOUTH BLDG.",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191392718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 49TH ST # 222",
            "address_2": "2ND FL, SOUTH BLDG.",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191392718",
            "telephone_number": "215-731-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILADELPHIA HEALTH MANAGEMENT CORPORATION (PHMC) / GIRLSPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "215-731-2042"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000016640048",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phila, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.