Organization Active NPI

Germantown Adult Day Center, Inc

  • Adult Day Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1932579307
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
GERMANTOWN ADULT DAY CENTER, INC
Practice address
4811 Germantown Ave
BLDG D
Philadelphia, PA 19144-3014
Phone
(267) 992-3766
NPI assigned
Sep 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Volodymyr Lisovyy
Title
President
Phone
(267) 992-3766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

4811 Germantown Ave
BLDG D
Philadelphia, PA 19144-3014

Mailing address

1568B Stoney LN
Philadelphia, PA 19115-4279
Phone (267) 992-3766

National Provider Directory

National Provider Directory

Locations

4811 Germantown Ave
Bldg D
Philadelphia, PA 19144
Phone (267) 992-3766

NPI Registry JSON

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1932579307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568B STONEY LN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191154279",
            "telephone_number": "267-992-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 GERMANTOWN AVE",
            "address_2": "BLDG D",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191443014",
            "telephone_number": "267-992-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN ADULT DAY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "LISOVYY",
        "authorized_official_first_name": "VOLODYMYR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-992-3766"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 29, 2015; 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.