INTERCOMMUNITY ACTION, INC (NPI# 1063556181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063556181 |
| Entity Type | Organization |
| Organization Name | INTERCOMMUNITY ACTION, INC |
| Practice Address |
4667 Umbria St Phila PA 19127-1929 |
| Mailing Address |
6012 Ridge Ave Phila PA 19128-1643 |
| Practice Telephone | 2155086710 |
| Mailing Telephone | 2154870906 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | DAVID BOLIN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2154870906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000008360087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730224338 | Intercommunity Action, Inc | Community/Behavioral Health | 6000 Ridge Ave, Levering School, Phila, PA 19128-1643 | 2007-02-21 |
| 1023153616 | Intercommunity Action, Inc | Community/Behavioral Health | 1822 W Butler St, Philadelphia, PA 19140 | 2007-02-21 |
| 1790820405 | Intercommunity Action, Inc | Community/Behavioral Health | 1801 W Pike St, Gillespie Middle School, Philadelphia, PA 19140-3401 | 2007-02-20 |
| 1467597468 | Intercommunity Action, Inc | Community/Behavioral Health | 6012 Ridge Ave, Phila, PA 19128-1697 | 2007-02-20 |
| 1285778316 | Intercommunity Action, Inc | Community/Behavioral Health | 3500 Midvale Ave, Phila, PA 19129 | 2007-02-20 |
| 1356486062 | Intercommunity Action, Inc | Community/Behavioral Health | 535 Shawmont Ave, Shawmont School, Phila, PA 19128-4032 | 2007-02-20 |
| 1285778399 | Intercommunity Action, Inc | Community/Behavioral Health | 1526 Fairmount Ave, Phila, PA 19130-2910 | 2007-02-20 |
| 1134264013 | Intercommunity Action, Inc | Community/Behavioral Health | 201 E Salaignac St, Phila, PA 19128-3763 | 2007-02-20 |
| 1578608014 | Intercommunity Action, Inc | Community/Behavioral Health | 6122 Ridge Ave, Phila, PA 19128-1603 | 2007-02-21 |
| 1508901125 | Intercommunity Action, Inc | Case Management | 6122 Ridge Ave, Phila, PA 19128-1603 | 2007-02-21 |
| Street Address |
4667 UMBRIA ST |
| City | PHILA |
| State | PA |
| Zip Code | 19127-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197218 | Karen M Johnson | Social Worker | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2019-11-05 |
| 1801363304 | Associates for Well-being | Psychologist | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2018-11-01 |
| 1033690920 | Extremity Care, LLC | Durable Medical Equipment & Medical Supplies | 3901 Main Street, Suite 101a, Philadelphia, PA 19127 | 2018-08-28 |
| 1275062549 | Jamie Mae Cunningham | Specialist/Technologist | 153 East Street, Philadelphia, PA 19127 | 2017-06-08 |
| 1073957957 | Sarah Alice Sall | Massage Therapist | 4600 Smick Street, Philadelphia, PA 19127 | 2013-04-23 |
| 1710245303 | Marie C Croghan | Occupational Therapist | 4601 Flat Rock Road, Apt. 514, Philadelphia, PA 19127 | 2012-05-02 |
| 1396938288 | Lisa Erin Starke | Occupational Therapist | 169 Conarroe St, Philadelphia, PA 19127 | 2007-08-23 |
| 1700448511 | Stefan Markovic | Family Medicine | 10 Shurs Ln, #203, Philadelphia, PA 19127 | 2019-07-01 |
| 1467912642 | Healing Energy Homecare, LLC | In Home Supportive Care | 4001 Main St, Ste 210, Philadelphia, PA 19127 | 2019-03-22 |
| 1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
| Find all providers in zip 19127 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447498837 | Mother Care Inc. | Community/Behavioral Health | 6423 Clearview St, Phila, PA 19119-2041 | 2009-01-23 |
| 1699956854 | Philadelphia Health Management Corp | Community/Behavioral Health | 4329 Griscom St, Phila, PA 19124-5021 | 2007-11-16 |
| 1730224338 | Intercommunity Action, Inc | Community/Behavioral Health | 6000 Ridge Ave, Levering School, Phila, PA 19128-1643 | 2007-02-21 |
| 1720122815 | Intercommunity Action Inc | Community/Behavioral Health | 4301 Wayne Ave, Steel School, Phila, PA 19140-1717 | 2007-02-20 |
| 1467597468 | Intercommunity Action, Inc | Community/Behavioral Health | 6012 Ridge Ave, Phila, PA 19128-1697 | 2007-02-20 |
| 1285778316 | Intercommunity Action, Inc | Community/Behavioral Health | 3500 Midvale Ave, Phila, PA 19129 | 2007-02-20 |
| 1356486062 | Intercommunity Action, Inc | Community/Behavioral Health | 535 Shawmont Ave, Shawmont School, Phila, PA 19128-4032 | 2007-02-20 |
| 1285778399 | Intercommunity Action, Inc | Community/Behavioral Health | 1526 Fairmount Ave, Phila, PA 19130-2910 | 2007-02-20 |
| 1134264013 | Intercommunity Action, Inc | Community/Behavioral Health | 201 E Salaignac St, Phila, PA 19128-3763 | 2007-02-20 |
| 1548538747 | Pmhc | Community/Behavioral Health | 1230 Summer St, Phila, PA 19107 | 2011-12-02 |
| Find all providers in PHILA | ||||
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| 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.