Active NPI
Senior Care Centers of Pennsylvania, Inc.
- Non-emergency Medical Transport (VAN)
- Broomall, PA
National Provider Identifier
1669018404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SENIOR CARE CENTERS OF PENNSYLVANIA, INC.
- Practice address
- 590 Reed Rd Unit B2
Broomall, PA 19008-3654 - Phone
- (215) 642-6600
- NPI assigned
- Nov 26, 2019
- Organization subpart
- Yes
- Parent organization
- SENIOR CARE CENTERS OF AMERICA, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debora Hockenbury
- Title
- Contracts Manager
- Phone
- (215) 642-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
590 Reed Rd Unit B2
Broomall, PA 19008-3654
Mailing address
6 Neshaminy Interplex Dr Ste 401
Trevose, PA 19053-6942
Phone (215) 642-6600
Other names 1
- Active Day Transportation of Pennsylvania
National Provider Directory
National Provider Directory- Tax ID family
- Senior Care Centers of Pennsylvania
- Part of
- Senior Care Centers of America Inc
Other organizations with this tax ID 16
Organizations that report the same tax identification number in the National Provider Directory.
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- Adult Day Care Clinic/Center
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-
- Adult Day Care Clinic/Center
- Horsham, PA
- NPI 1306066717
-
- Respite Care
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- Adult Day Care Clinic/Center
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- Adult Day Care Clinic/Center
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- NPI 1659891117
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- Adult Day Care Clinic/Center
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- NPI 1669692067
Locations
590 Reed Rd
Unit B2
Broomall, PA 19008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1574726400000",
"number": "1669018404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 NESHAMINY INTERPLEX DR STE 401",
"city": "TREVOSE",
"state": "PA",
"postal_code": "190536942",
"telephone_number": "215-642-6600",
"fax_number": "215-827-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 REED RD UNIT B2",
"city": "BROOMALL",
"state": "PA",
"postal_code": "190083654",
"telephone_number": "215-642-6600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CARE CENTERS OF PENNSYLVANIA, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SENIOR CARE CENTERS OF AMERICA, INC.",
"enumeration_date": "2019-11-26",
"last_updated": "2019-11-26",
"status": "A",
"authorized_official_last_name": "HOCKENBURY",
"authorized_official_first_name": "DEBORA",
"authorized_official_title_or_position": "CONTRACTS MANAGER",
"authorized_official_telephone_number": "215-642-6600"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Day Transportation of Pennsylvania",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Broomall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.