RACHEAL BUNDOR (NPI# 1174984157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174984157 |
Entity Type | Individual |
Full Name | RACHEAL BUNDOR |
Credential | CEO |
Practice Address |
2604 Johnson Rd Upper Chichester PA 19061-3523 |
Practice Telephone | 2674082202 |
Practice Fax Number | 4842291188 |
Mailing Telephone | 2674082202 |
Mailing Fax Number | 4842291188 |
Enumeration Date | 2016-03-17 |
Last Update Date | 2016-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 373H00000X | Day Training/Habilitation Specialist | CER-00091663 | PA | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | CER-00091663 | 05 |
Street Address |
2604 JOHNSON RD |
City | UPPER CHICHESTER |
State | PA |
Zip Code | 19061-3523 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528506086 | Agape Family Home, LLC | Registered Nurse | 2604 Johnson Rd, Upper Chichester, PA 19061-3523 | 2017-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386932010 | Ems Factory Inc | Ambulance | 1628 Huddell Avenue, Boothwyn, PA 19061 | 2011-07-15 |
1194928655 | Patricia Anne Wardius | Dentist | 3129 Naamans Creek Road, Boothwyn, PA 19061 | 2007-06-11 |
1912110438 | Critical Care Systems | Preferred Provider Organization | 3901 Columbia Avenue, Suite100, Linwood, PA 19061 | 2007-05-08 |
1205048790 | Diane Faith Senn | Pharmacist | 643 Conchester Highway, Boothwyn, PA 19061 | 2007-05-04 |
1205048709 | Nicole Marie Nelson | Speech-Language Pathologist | Naamans Creek Country Manor, 1194 Naamans Creek Road, Boothwyn, PA 19061 | 2007-05-04 |
1932221322 | Marcus Hook-trainer Fire Dept Station 68 Inc | Ambulance | 617 East 10 St, Marcus Hook, PA 19061 | 2007-04-04 |
1215059175 | Sarah Margaret Clark | Physical Therapist | 1194 Naanans Creek Rd, Boothwyn, PA 19061 | 2007-04-04 |
1235257783 | Julie Ramsey | Occupational Therapist | 1194 Naamans Creek Road, Boothwyn, PA 19061 | 2007-03-26 |
1316071293 | Nancy Elizabeth Jordan | Physical Therapist | 1531 Springmeadow Ln., Boothwyn, PA 19061 | 2007-03-15 |
1306979133 | Elwyn | Intermediate Care Facility, Mentally Retarded | 5240 Chichester Ave., Boothwyn, PA 19061 | 2007-03-13 |
Find all providers in zip 19061 |
Taxonomy Code | 373H00000X |
Grouping | Nursing Service Related Providers |
Classification | Day Training/Habilitation Specialist |
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952925687 | Keyana Person | Day Training/Habilitation Specialist | 1831 E Pastorius St, Philadelphia, PA 19138-1203 | 2020-05-28 |
1568097624 | Janie R Killian | Day Training/Habilitation Specialist | 1015 Bingham St, Pittsburgh, PA 15203-1101 | 2020-03-10 |
1033741137 | Kanika Williams | Day Training/Habilitation Specialist | 2812 N Van Pelt St, Philadelphia, PA 19132-2643 | 2020-02-06 |
1275177362 | Dhan Timsina | Day Training/Habilitation Specialist | 453 Galleon Dr, Mechanicsburg, PA 17050-2925 | 2019-10-31 |
1902363005 | Keystone Community Resources, Inc. | Day Training/Habilitation Specialist | 628 Genet Street, Scranton, PA 18505 | 2019-02-25 |
1326512971 | Lilly of The Valley LLC | Day Training/Habilitation Specialist | 5651 Woodcrest Ave, Philadelphia, PA 19131-1303 | 2019-01-16 |
1245714757 | Keystone Community Resources, Inc. | Day Training/Habilitation Specialist | 921 Penn Ave, Scranton, PA 18509-2901 | 2018-09-20 |
1861976383 | Keystone Community Resources, Inc. | Day Training/Habilitation Specialist | 1729 Pittston Ave, Scranton, PA 18505-4514 | 2018-09-20 |
1508340027 | Keystone Community Resources, Inc. | Day Training/Habilitation Specialist | 628 Genet Streeet, Scranton, PA 18505-1165 | 2018-09-20 |
1891279303 | Keystone Community Resources, Inc. | Day Training/Habilitation Specialist | 1501 Sanderson Ave, Scranton, PA 18509-2258 | 2018-09-20 |
Find all providers with the same taxonomy |
City | UPPER CHICHESTER |
Zip Code | 19061 |
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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.