Organization Active NPI

Senior Care Centers of Pennsylvania, Inc.

  • Non-emergency Medical Transport (VAN)
  • Broomall, PA
National Provider Identifier
1669018404
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Senior Care Centers of Pennsylvania17 organizations share this tax ID, including this one
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.

View all 16

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.

Verify at the official NPI Registry.