Active NPI
Vernon Care Living Inc
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Philadelphia, PA
National Provider Identifier
1982931440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.