Organization Active NPI

Amerihealth Caritas Nevada, Inc.

  • Health Maintenance Organization
  • Philadelphia, PA
National Provider Identifier
1740861129
Registry record updated Apr 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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

Updated by the provider on Apr 18, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.