Organization Active NPI

Amudipes Behavioral Health

  • Home Health Agency
  • Bala Cynwyd, PA
National Provider Identifier
1720394687
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jan 17, 2017

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2106381Amudipes Behavioral Health/Ehomecare111 Presidential Blvd Suite 244, Bala Cynwyd, PA 19004Certificate of waiverDec 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amudipes Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.