Eman Community Living Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

EMAN COMMUNITY LIVING INC.

Practice address

820 E Vernon Rd FL 2
Philadelphia, PA 19119-1519

Phone

(215) 849-3377

Fax

(215) 848-6267

NPI assigned

Feb 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Raj Desai, BS

Title

Controller

Phone

(215) 849-3377

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760517205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E VERNON RD FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191519",
            "telephone_number": "215-849-3377",
            "fax_number": "215-848-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E VERNON RD FL 2",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191519",
            "telephone_number": "215-849-3377",
            "fax_number": "215-848-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMAN COMMUNITY LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "215-849-3377",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Pennsylvania

• 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.