OVERBROOK FRIEDLANDER PROGRAMS (NPI# 1114141769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114141769 |
| Entity Type | Organization |
| Organization Name | OVERBROOK FRIEDLANDER PROGRAMS |
| Practice Address |
1900 Wynnewood Rd Philadelphia PA 19151-2535 |
| Practice Telephone | 2158770017 |
| Practice Fax Number | 2158775039 |
| Mailing Telephone | 2158770017 |
| Mailing Fax Number | 2158775039 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2015-12-29 |
| Authorized Official Name | MS. MICHELE C RHODES (PROGRAM ADMINISTRATOR) |
| Authorized Official Telephone | 2158770017 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 515160 | PA | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093906372 | Overbrook Friedlander Programs | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Wynnewood Rd, Philadelphia, PA 19151-2535 | 2007-08-05 |
| Street Address |
1900 WYNNEWOOD RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19151-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093906372 | Overbrook Friedlander Programs | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Wynnewood Rd, Philadelphia, PA 19151-2535 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860145 | Antonio Mayhew | Home Health | 1244 N 64th St, Philadelphia, PA 19151 | 2020-04-21 |
| 1477078913 | Nikisha Davis | Marriage & Family Therapist | 7621 Brookhaven Road, Philadelphia, PA 19151 | 2017-08-05 |
| 1376066092 | Kialenah Stewart | Technician | 451 N Edgewood Street, Philadelphia, PA 19151 | 2017-07-25 |
| 1922413186 | My Community My Way | Day Training, Developmentally Disabled Services | 1715 North Felton Street, Philadelphia, PA 19151 | 2014-06-26 |
| 1245670033 | Harcum Healthcare Group, LLC | Home Health | 7401 Woodbine Avenue, Philadelphia, PA 19151 | 2013-06-26 |
| 1639515687 | Daniel A Rader | Dentist | 7300 City Ave Suite 210, Phila, PA 19151 | 2013-05-17 |
| 1053632547 | Nalini Venkateswaran | Pharmacist | 7564-7570 Haverford Avenue, Rite Aid Pharmacy, Philadelphia, PA 19151 | 2010-06-18 |
| 1740494533 | Suburban Rehabilitation Associates, LLC | Orthopaedic Surgery | 7225 Haverford Avenue, Philadelphia, PA 19151 | 2007-05-10 |
| 1902027741 | Ndeye Aissatou Lo | Pharmacist | 7564 Haverford Ave, Philadelphia, PA 19151 | 2007-05-01 |
| 1629295076 | Gaudenzia Inc | Clinic/Center | 701 North 63rd Street, Philadelphia, PA 19151 | 2007-04-19 |
| Find all providers in zip 19151 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336531508 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 8538 Frankford Ave, Philadelphia, PA 19136-2032 | 2015-02-25 |
| 1558569558 | Comhar Inc | Intermediate Care Facility, Mentally Retarded | 129 W Allegheny Ave, Philadelphia, PA 19133-3916 | 2007-07-11 |
| 1568682623 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 6710 Ridge Ave, Philadelphia, PA 19128-2430 | 2007-04-30 |
| 1023238128 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 3717 Manayunk Ave, Philadelphia, PA 19128-3704 | 2007-04-30 |
| 1407075245 | Intercommunity Action, Inc. | Intermediate Care Facility, Mentally Retarded | 2405 N 54th St, Philadelphia, PA 19131-2423 | 2007-04-24 |
| 1790908853 | Merakey Woodhaven | Intermediate Care Facility, Mentally Retarded | 2900 Southampton Rd, Philadelphia, PA 19154-1202 | 2007-04-10 |
| 1174644488 | Merakey Philadelphia | Intermediate Care Facility, Mentally Retarded | 2016 Robbins Ave, Philadelphia, PA 19149-2921 | 2007-04-03 |
| 1972624393 | Merakey Philadelphia | Intermediate Care Facility, Mentally Retarded | 6915 Germantown Ave, Philadelphia, PA 19119-2115 | 2007-04-03 |
| 1033244454 | Kencrest Services | Intermediate Care Facility, Mentally Retarded | 1 Waterman Ave, Philadelphia, PA 19118-3625 | 2007-02-23 |
| 1669507182 | Kencrest Services | Intermediate Care Facility, Mentally Retarded | 6341 Ridge Ave, Philadelphia, PA 19128-2527 | 2007-02-23 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19151 |
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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.