Active NPI
Pca Care Connections
- Case Management Agency
- Philadelphia, PA
National Provider Identifier
1851945588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103620497-001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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- Rachel Marie Paziuk
- Pca Emstar Holdings, L.P. (EMStar)
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- Malaika Peabody, MA
- Peace & Blessing Home Care Services
- Peace and Serenity Support Services LLC
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.