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

3901 Conshohocken Ave
Greenbriar - #4311
Philadelphia, PA 19131-5430

Phone

(215) 877-2373

Fax

(610) 747-0294

NPI assigned

Mar 26, 2007

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 names 1

• The Walker Memorial Training Center Former legal business name

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1720105570",
    "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": "610-727-0290",
            "fax_number": "610-747-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CONSHOHOCKEN AVE",
            "address_2": "GREENBRIAR - #4311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315430",
            "telephone_number": "215-877-2373",
            "fax_number": "610-747-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANCROFT NEUROHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-03-14",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Walker Memorial Training Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Harleen Kaur Bamrah
• Caroline Banas
• Fawziyah Banavai, AU.D
• Sara Isabelle Banbury
• Bancroft Neurohealth
• Bancroft Neurohealth
• Bancroft Neurohealth
• Gregory Bancroft, D.P.M.
• Roger A Band, MD
• Stephen E Band, DMD

• All providers in Philadelphia, PA
• 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 14, 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.