Active NPI
Amudipes Behavioral Health
- Home Health Agency
- Bala Cynwyd, PA
National Provider Identifier
1720394687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AMUDIPES BEHAVIORAL HEALTH
- Practice address
- 111 Presidential Blvd
Suite 244
Bala Cynwyd, PA 19004-1008 - Phone
- (215) 858-7685
- NPI assigned
- Aug 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ellen Amudipe
- Title
- President
- Phone
- (215) 858-7685
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
111 Presidential Blvd
Suite 244
Bala Cynwyd, PA 19004-1008
Mailing address
90 Norristown Rd
Blue Bell, PA 19422-2802
Phone (215) 858-7685
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2106381 | Amudipes Behavioral Health/Ehomecare | Certificate of waiver | Dec 16, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Amudipes Behavioral Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Norristown, PA
- NPI 1689981458
Locations
111 Presidential Blvd
Ste 244
Bala Cynwyd, PA 19004
Phone (215) 858-7685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1484611200000",
"number": "1720394687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 NORRISTOWN RD",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194222802",
"telephone_number": "215-858-7685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PRESIDENTIAL BLVD",
"address_2": "SUITE 244",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190041008",
"telephone_number": "215-858-7685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMUDIPES BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-29",
"last_updated": "2017-01-17",
"status": "A",
"authorized_official_last_name": "AMUDIPE",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "215-858-7685"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.