Northeast Adult Day Care Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-002109-E Issued in PA

Legal business name

NORTHEAST ADULT DAY CARE INC.

Practice address

11040 Rennard St
Philadelphia, PA 19116-2618

Phone

(215) 671-8909

Fax

(215) 671-0686

NPI assigned

Dec 1, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vlada Rubarkh, R.N.

Title

President

Phone

(215) 671-0200

Specialties & licenses 1

Addresses

Other names 1

• Olympic Rehabilitation and Aquatic Therapy Other name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Northeast Adult Day Care Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Northeast Adult Day Care Inc

  • Adult Day Care Clinic/Center
  • Philadelphia, PA
  • NPI 1780752535
  NPD tax ID
• Northeast Adult Day Care Inc

  • Specialist
  • Philadelphia, PA
  • NPI 1881627305
  NPD tax ID
• Northeast Adult Day Care Inc.

  • Adult Day Care Clinic/Center
  • Philadelphia, PA
  • NPI 1225106222
  NPD tax ID
• Olympic Rehabilitation and Aquatic Center

  • Specialist
  • Philadelphia, PA
  • NPI 1972658003
  NPD tax ID

Practitioners 1

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.

• Alex Ufberg, P.T.

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1679516801
  Medicare reassignment NPD

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689742421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11048 RENNARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162618",
            "telephone_number": "215-671-0200",
            "fax_number": "215-671-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 RENNARD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191162618",
            "telephone_number": "215-671-8909",
            "fax_number": "215-671-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST ADULT DAY CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBARKH",
        "authorized_official_first_name": "VLADA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-671-0200",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT-002109-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olympic Rehabilitation and Aquatic Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah North, MS
• Kelly North
• Northeast Adult Day Care Inc
• Northeast Adult Day Care Inc
• Northeast Adult Day Care Inc.
• Northeast Aesthetic Group LLC
• Northeast Aqua and Physical Therapy Center Inc
• Northeast Behavioral Medicine Inc.
• Northeast Chiropractic Associates, P.C.
• Northeast Chiropractic Bodyshop, P.C.

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.