DEDICATED PENNSYLVANIA HOLDING, LLC (NPI# 1023655602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023655602 |
| Entity Type | Organization |
| Organization Name | DEDICATED PENNSYLVANIA HOLDING, LLC |
| Other Organization Name | DEDICATED SENIOR MEDICAL CENTER SOUTH PHILADELPHIA |
| Practice Address |
330 W Oregon Ave # 170 Philadelphia PA 19148-4723 |
| Mailing Address |
1395 Nw 167th St Miami Gardens FL 33169-5710 |
| Practice Telephone | 3056286117 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2020-06-18 |
| Authorized Official Name | MARY CHEN (EXECUTIVE) |
| Authorized Official Telephone | 3056286117 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEDICATED PENNSYLVANIA HOLDING, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Dedicated Senior Medical Center South Philadelphia | Doing Business As Name - Organization |
| Dedicated Senior Medical Center Whitman Plaza | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366950776 | Dedicated Pennsylvania Holding, LLC | Clinic/Center | 5675 N. Front Strreet, Suite 141, Philadelphia, PA 19120-1910 | 2018-01-19 |
| 1942703137 | Dedicated Pennsylvania Holding, LLC | Specialist | 1575 N 52nd St Ste S-3, Philadelphia, PA 19131-4736 | 2018-03-14 |
| 1952804312 | Dedicated Pennsylvania Holding, LLC | Specialist | 2101 W Lehigh Ave Ste A, Philadelphia, PA 19132-2664 | 2018-03-13 |
| 1477053569 | Dedicated Pennsylvania Holding, LLC | Internal Medicine | 6431 Sackett St, Philadelphia, PA 19149-3118 | 2018-02-15 |
| 1841707965 | Dedicated Pennsylvania Holding, LLC | Family Medicine | 5675 N Front St Ste 141, Philadelphia, PA 19120-2719 | 2018-01-10 |
| Street Address |
330 W OREGON AVE # 170 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19148-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759232 | Be Well With Beth LLC | Dietitian, Registered | 1901 S. 9th Street, Bok Building, Room 508, Philadelphia, PA 19148 | 2019-06-18 |
| 1942798186 | Beth Auguste | Dietitian, Registered | 1901 South 9th Street, Bok Building, #508, Philadelphia, PA 19148 | 2018-04-24 |
| 1457866576 | Wholehearted Homecare | In Home Supportive Care | 2555 S Jessup St, Philadelphia, PA 19148 | 2017-12-12 |
| 1326557331 | Jannick Vicky Vielleuse | Physical Therapist | 1208 Tasker Street, 2nd Floor, Philadelphia, PA 19148 | 2017-09-21 |
| 1225556137 | Jamitia Camil Wilson-knight | Counselor | 2542 S Marshall, Phila, PA 19148 | 2017-08-31 |
| 1437676855 | Elease Lee | Pharmacist | 2036 S 3rd Street, Philadelphia, PA 19148 | 2017-08-25 |
| 1598216483 | Thy Vu | Physician Assistant | 2623 S Mildred St, Philadelphia, PA 19148 | 2016-10-17 |
| 1356723019 | Meeta Chawla | Dentist | 1851 S Christopher Columbus Blvd, Philadelphia, PA 19148 | 2015-06-18 |
| 1013317882 | Damian R Bereza | Pharmacist | 2017-2023 South Broad St, Philadelphia, PA 19148 | 2014-08-29 |
| 1396144390 | Rite Aid Corporation | Pharmacy | 2017-2023 S Broad St, Philadelphia, PA 19148 | 2014-08-15 |
| Find all providers in zip 19148 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134528839 | Bucks Philadelphia Medical Care Group | Non-Pharmacy Dispensing Site | 10745 Haldeman Ave, Philadelphia, PA 19116-3928 | 2014-08-19 |
| 1376843912 | Philadelphia Chemocap Hair Store | Non-Pharmacy Dispensing Site | 766 S 4th St, Philadelphia, PA 19147-3137 | 2010-10-29 |
| 1326185182 | Morrell Eye Care, Inc. | Non-Pharmacy Dispensing Site | 3810 Morrell Ave, Philadelphia, PA 19114-1915 | 2007-01-31 |
| 1588738017 | David L Topolsky Md | Non-Pharmacy Dispensing Site | 230 S Broad St, 15th Flr, Philadelphia, PA 19102-4121 | 2006-11-17 |
| 1356828123 | Richard H. Kaplan, M.d., P.C. | Non-Pharmacy Dispensing Site | 9140 Academy Rd Ste A, Philadelphia, PA 19114-2853 | 2018-07-25 |
| 1407397565 | Premier Pain & Rehab Center | Non-Pharmacy Dispensing Site | 10184 Verree Rd, Philadelphia, PA 19116-3637 | 2017-03-09 |
| 1336699776 | Anand Medical Investment | Non-Pharmacy Dispensing Site | 5000 Frankford Ave, Suite 2, Philadelphia, PA 19124-2620 | 2016-10-10 |
| 1780926915 | Alliance Cancer Specialists,p.c. | Non-Pharmacy Dispensing Site | 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1445 | 2013-03-26 |
| 1679844492 | Alliance Cancer Specialists, P.C. | Non-Pharmacy Dispensing Site | 3998 Red Lion Rd, Suite 130, Philadelphia, PA 19114-1445 | 2012-01-25 |
| 1437283256 | Planned Parenthood Southeastern Pennsylvania | Non-Pharmacy Dispensing Site | 1144 Locust St, Philadelphia, PA 19107-6734 | 2007-03-15 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19148 |
Please comment or provide details below to improve the information on DEDICATED PENNSYLVANIA HOLDING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.