Organization Active NPI

Pca Care Connections

  • Case Management Agency
  • Philadelphia, PA
National Provider Identifier
1851945588
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PCA CARE CONNECTIONS
Practice address
642 N Broad St Ste 300
Philadelphia, PA 19130-3424
Phone
(215) 282-6500
Fax
(215) 282-6620
NPI assigned
Jul 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Ann Danish
Title
Executive Director
Phone
(215) 282-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

642 N Broad St Ste 300
Philadelphia, PA 19130-3424

Mailing address

642 N Broad St Ste 300
Philadelphia, PA 19130-3424
Phone (215) 282-6500

Other identifiers 1

IdentifierTypeStateIssuer
103620497-001MedicaidPA

National Provider Directory

National Provider Directory

Locations

642 N Broad St
Ste 300
Philadelphia, PA 19130
Phone (215) 282-6500

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1851945588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 N BROAD ST STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303424",
            "telephone_number": "215-282-6500",
            "fax_number": "215-282-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 N BROAD ST STE 300",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303424",
            "telephone_number": "215-282-6500",
            "fax_number": "215-282-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCA CARE CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "DANISH",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-282-6500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103620497-001",
            "state": "PA"
        }
    ],
    "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 Jul 31, 2019; 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.