Community Health & Wellness Services, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMMUNITY HEALTH & WELLNESS SERVICES, INC.

Practice address

Community Health & Wellness Services Inc
2600 Southampton Rd
Philadelphia, PA 19116

Phone

(215) 287-7260

Fax

(215) 550-5101

NPI assigned

Aug 22, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Yahaya Ehigie Enakhimion, CRNP

Title

Ceo

Phone

(215) 392-2961

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1598054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1841802592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 MEMORIAL PARK DR",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190641714",
            "telephone_number": "215-287-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMMUNITY HEALTH & WELLNESS SERVICES INC",
            "address_2": "2600 SOUTHAMPTON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19116",
            "telephone_number": "215-287-7260",
            "fax_number": "215-550-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Memorial Park Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190641714",
            "country_code": "US",
            "telephone_number": "215-287-7260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Brookdale",
            "address_2": "6677 Lancaster Pike",
            "address_purpose": "LOCATION",
            "city": "Hockessin",
            "state": "DE",
            "postal_code": "19707",
            "country_code": "US",
            "telephone_number": "215-287-7260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY HEALTH & WELLNESS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-22",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "ENAKHIMION",
        "authorized_official_first_name": "YAHAYA",
        "authorized_official_middle_name": "EHIGIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-392-2961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103112273",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.chwsinc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "312 Memorial Park Dr",
            "city": "Springfield",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190641714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Family Homecare LLC
• Community Haven Group Home, Inc
• Community Health Collaborative
• Community Integrated Services
• Community Keepers Inc (Community Keepers Home Care)
• Community Neurological Services, P.S.
• Community Outreach Program

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.