Organization Active NPI

Vernon Care Living Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Philadelphia, PA
National Provider Identifier
1982931440
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
VERNON CARE LIVING INC
Practice address
729 E Vernon Rd
Philadelphia, PA 19119-1502
Phone
(215) 758-7136
NPI assigned
Nov 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Miss Gormah Pinky Kolleh
Title
Part Owner
Phone
(215) 758-7136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

729 E Vernon Rd
Philadelphia, PA 19119-1502

Mailing address

1435 Boggs Rd
Apartment 1018
Duluth, GA 30096-1201

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1982931440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 BOGGS RD",
            "address_2": "APARTMENT 1018",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 E VERNON RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191502",
            "telephone_number": "215-758-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON CARE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "KOLLEH",
        "authorized_official_first_name": "GORMAH",
        "authorized_official_middle_name": "PINKY",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "215-758-7136",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "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 Nov 4, 2009; 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.