Bancroft Neurohealth

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

135180 Issued in PA

Legal business name

BANCROFT NEUROHEALTH

Practice address

1424 Edgevale LN
Wynnewood, PA 19096-3808

Phone

(610) 658-5538

Fax

(610) 747-0294

NPI assigned

Mar 23, 2007

Last updated

Mar 1, 2012By 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

Sharon E Williams-Taylor, M.S. STLDR

Title

Senior Director

Phone

(610) 747-0290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Walker Memorial Training Center Former legal business name

Tax ID family

Bancroft a New Jersey Nonprofit Corporation250 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 10

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Broomall, PA
  • NPI 1114044112
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
  • NPI 1245357094
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bryn Mawr, PA
  • NPI 1497872410
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bala Cynwyd, PA
  • NPI 1578680591
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bryn Mawr, PA
  • NPI 1730206749
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bryn Mawr, PA
  • NPI 1780701789
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
  • NPI 1790802544
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Broomall, PA
  • NPI 1801919915
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Merion Station, PA
  • NPI 1972620722
  NPD tax ID
• Bancroft Neurohealth

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Philadelphia, PA
  • NPI 1982721734
  NPD tax ID

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1699892968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 OLD LANCASTER RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661526",
            "telephone_number": "610-747-0290",
            "fax_number": "610-747-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 EDGEVALE LN",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963808",
            "telephone_number": "610-658-5538",
            "fax_number": "610-747-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT NEUROHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS-TAYLOR",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "610-747-0290",
        "authorized_official_credential": "M.S. STLDR"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "135180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101112176-0017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Walker Memorial Training Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Domenic Baglivo Jr., D.M.D.
• Jennafer K Bailey, PA-C
• Margaret Noel Baker, PH.D.
• Sarah Elizabeth Baker, PA-C
• Omotola O Balogun, MD
• Arka Pratim Banerjee, MD
• Isaiah D Banks
• Lauren Banner, MD
• Shyla K Banvi, MD
• Melissa Barenbaum, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.