WOMANSPACE ARDMORE (NPI# 1194889022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194889022 |
| Entity Type | Organization |
| Organization Name | WOMANSPACE ARDMORE |
| Practice Address |
120 Ardmore Ave Ardmore PA 19003-1315 |
| Mailing Address |
4700 Wissahickon Ave Philadelphia PA 19144-4248 |
| Practice Telephone | 6106498136 |
| Practice Fax Number | 6106494270 |
| Mailing Telephone | 2159510300 |
| Mailing Fax Number | 2159510312 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2010-05-27 |
| Authorized Official Name | MS. LORETTA MOONEY (AR COORDINATOR) |
| Authorized Official Telephone | 2159510300 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1000017080229 | PA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000017080229 | 05 | |
| PA | WOMANSPACE ARDMORE MAG | 153373-000 | 01 |
| Street Address |
120 ARDMORE AVE |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| Find all providers in zip 19003 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710106778 | Broadway House, Inc. | Substance Abuse Rehabilitation Facility | 221 2nd Ave Nw, Ardmore, OK 73401-6202 | 2007-04-25 |
| 1083923213 | Martin Maytubby Sr. | Substance Abuse Rehabilitation Facility | 9 10th Ave Nw, Ardmore, OK 73401-5929 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016867 | Matthew Alexander Walukonis | Substance Abuse Rehabilitation Facility | 933 S Queen St, York, PA 17403-3935 | 2020-06-04 |
| 1598385924 | Heuer House | Substance Abuse Rehabilitation Facility | 514 Monongahela Ave, Glassport, PA 15045-1425 | 2020-04-27 |
| 1851911523 | Enlightened Solutions Philadelphia,llc | Substance Abuse Rehabilitation Facility | 25 Bala Ave Ste 202, Bala Cynwyd, PA 19004-3215 | 2020-04-22 |
| 1588283832 | Summit Bhc Meadville LLC | Substance Abuse Rehabilitation Facility | 535 Williamson Rd, Meadville, PA 16335-2848 | 2020-04-15 |
| 1538796792 | Genesis House Ministries Inc | Substance Abuse Rehabilitation Facility | 395 E Main St, Uniontown, PA 15401-4347 | 2020-03-26 |
| 1689216574 | Water Gap Capital Partners LLC | Substance Abuse Rehabilitation Facility | 288 Mountain Road, Delaware Water Gap, PA 18327 | 2019-10-11 |
| 1386201713 | Just Believe Recovery Center At Mountains Edge LLC | Substance Abuse Rehabilitation Facility | 306 Sugar Hill Rd, Union Dale, PA 18470-7397 | 2019-05-21 |
| 1689230674 | Snug Harbor Rehabilitation and Recovery LLC | Substance Abuse Rehabilitation Facility | 4638 E Lake Rd, Erie, PA 16511-1410 | 2019-05-15 |
| 1871157115 | Pyramid Healthcare Inc. | Substance Abuse Rehabilitation Facility | 5849 Lincoln Hwy, York, PA 17406-8903 | 2019-04-23 |
| 1962965145 | Providence Living LLC | Substance Abuse Rehabilitation Facility | 1528 Walnut St Ste 1410, Philadelphia, PA 19102-3610 | 2019-04-13 |
| Find all providers with the same taxonomy | ||||
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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.