Organization Active NPI

Phila. Performing Arts Charter School

  • Local Education Agency (LEA)
  • Philadelphia, PA
National Provider Identifier
1730396391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PHILA. PERFORMING ARTS CHARTER SCHOOL
Practice address
2600 S Broad St
Philadelphia, PA 19145-4616
Phone
(215) 551-4000
Fax
(215) 551-1113
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gerald Santilli
Title
Controller
Phone
(856) 505-1300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X PA Primary

Addresses

Primary practice location

2600 S Broad St
Philadelphia, PA 19145-4616

Mailing address

2600 S Broad St
Philadelphia, PA 19145-4616
Phone (215) 551-4000

Other identifiers 1

IdentifierTypeStateIssuer
1018720100001MedicaidPA

National Provider Directory

National Provider Directory

Locations

2600 S Broad St
Philadelphia, PA 19145
Phone (215) 551-4000

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730396391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454616",
            "telephone_number": "215-551-4000",
            "fax_number": "215-551-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454616",
            "telephone_number": "215-551-4000",
            "fax_number": "215-551-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILA. PERFORMING ARTS CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "856-505-1300"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1018720100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.