Active NPI
Amerihealth Caritas Nevada, Inc.
- Health Maintenance Organization
- Philadelphia, PA
National Provider Identifier
1740861129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- AMERIHEALTH CARITAS NEVADA, INC.
- Practice address
- 200 Stevens Dr
Philadelphia, PA 19113-1532 - Phone
- (215) 937-8000
- NPI assigned
- Apr 18, 2021
- 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
- Robert E Tootle
- Title
- Corporate Secretary
- Phone
- (215) 937-8561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
200 Stevens Dr
Philadelphia, PA 19113-1532
Mailing address
200 Stevens Dr
Philadelphia, PA 19113-1532
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618704000000",
"number": "1740861129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 STEVENS DR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191131532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STEVENS DR",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191131532",
"telephone_number": "215-937-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERIHEALTH CARITAS NEVADA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-18",
"last_updated": "2021-04-18",
"certification_date": "2021-04-18",
"status": "A",
"authorized_official_last_name": "TOOTLE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CORPORATE SECRETARY",
"authorized_official_telephone_number": "215-937-8561"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Apr 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.