Active NPI
Resources for Human Development
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Philadelphia, PA
National Provider Identifier
1760512693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 1000017080266
- Legal business name
- RESOURCES FOR HUMAN DEVELOPMENT
- Practice address
- 220 E Mermaid LN
Apt 216
Philadelphia, PA 19118-3244 - Phone
- (215) 387-4288
- Fax
- (215) 387-4360
- NPI assigned
- Mar 7, 2007
- 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
- Ms. Adrienne Rotella, MS
- Title
- Ar Coordinator
- Phone
- (215) 951-0300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 1000017080266 | PA | Primary |
Addresses
Primary practice location
220 E Mermaid LN
Apt 216
Philadelphia, PA 19118-3244
Mailing address
4700 Wissahickon Ave
Philadelphia, PA 19144-4248
Phone (215) 951-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000017080266 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760512693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 WISSAHICKON AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191444248",
"telephone_number": "215-951-0300",
"fax_number": "215-951-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 E MERMAID LN",
"address_2": "APT 216",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191183244",
"telephone_number": "215-387-4288",
"fax_number": "215-387-4360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESOURCES FOR HUMAN DEVELOPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ROTELLA",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_title_or_position": "AR COORDINATOR",
"authorized_official_telephone_number": "215-951-0300",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "PA",
"license": "1000017080266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000017080266",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
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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.