ELWYN (NPI# 1306979133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306979133 |
| Entity Type | Organization |
| Organization Name | ELWYN |
| Other Organization Name | CRS CHICHESTER |
| Practice Address |
5240 Chichester Ave. Boothwyn PA 19061 |
| Mailing Address |
111 Elwyn Rd Crs Elwyn PA 19063-4622 |
| Practice Telephone | 6108917081 |
| Mailing Telephone | 6108917081 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANIEL REARDON (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 6108912021 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| CRS Chichester | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546245 | Elwyn | Community/Behavioral Health | 3300 Henry Ave Ste 401, Philadelphia, PA 19129-1121 | 2018-01-11 |
| 1013422526 | Elwyn | Community/Behavioral Health | 1001 Sterigere St Bldg 9-af, Norristown, PA 19401-5300 | 2017-12-06 |
| 1932645108 | Elwyn | Community Based Residential Treatment Facility, Mental Illness | 5218 Germantown Ave, Philadelphia, PA 19144-2347 | 2017-01-12 |
| 1730542861 | Elwyn | Local Education Agency (LEA) | 419 Avenue of The States, 3rd Floor, Chester, PA 19013-4451 | 2016-04-05 |
| 1386898401 | Elwyn | Community/Behavioral Health | 2003 N 3rd St, Harrisburg, PA 17102-1804 | 2008-11-17 |
| 1083878482 | Elwyn | Community/Behavioral Health | 1347 Hausman Rd, Allentown, PA 18104-9063 | 2008-07-15 |
| 1164681821 | Elwyn | Community/Behavioral Health | 4017 Ludlow Street, Philadelphia, PA 19104 | 2008-06-06 |
| 1902072358 | Elwyn | Community/Behavioral Health | 4040 Market St, Family Based Mental Health Services, Philadelphia, PA 19104-3003 | 2008-05-06 |
| 1700910999 | Elwyn | Residential Treatment Facility, Emotionally Disturbed Children | 120 S Chester Pike, Glenolden, PA 19036-1840 | 2007-03-16 |
| 1336273523 | Elwyn | Residential Treatment Facility, Emotionally Disturbed Children | 126 S Chester Pike, Glenolden, PA 19036-1806 | 2007-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELWYN | 111 Elwyn Rd, Media, PA 19063-4622 |
| System for Award Management (SAM) Entities | ELWYN CALIFORNIA REHABILITATION CENTER | 18325 Mt Baldy Cir, Fountain Valley, CA 92708-6115 |
| System for Award Management (SAM) Entities | ELWYN INDUSTRIES | 1 Judy Way, Aston, PA 19014-2262 |
| System for Award Management (SAM) Entities | ELWYN WILDFIRE | 1352 Northern Ct, Fort Collins, CO 80521-1275 |
| Colorado Business Entities | Elwyn Wildfire LLC | 1352 Northern Court, Fort Collins, CO 80521 |
| Street Address |
5240 CHICHESTER AVE. |
| City | BOOTHWYN |
| State | PA |
| Zip Code | 19061 |
| 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 |
| 1497829014 | Advanced Care Centers PC | Chiropractor | 2450 Market Street, Upper Chichester, PA 19061 | 2006-11-17 |
| Find all providers in zip 19061 | ||||
| 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 |
|---|---|---|---|---|
| 1821565029 | Martha Lloyd Intermediate Care Facility | Intermediate Care Facility, Mentally Retarded | 76 Coppertree Ln, Troy, PA 16947 | 2018-10-26 |
| 1609327469 | Barc Developmental Services | Intermediate Care Facility, Mentally Retarded | 229 N Hellertown Ave, Quakertown, PA 18951 | 2016-10-17 |
| 1124407309 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1745 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1477932655 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1755 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1003295288 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 1765 S. Sproul Rd, Springfield, PA 19064 | 2015-05-21 |
| 1336531508 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 8538 Frankford Ave, Philadelphia, PA 19136-2032 | 2015-02-25 |
| 1982009254 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 225 Upland Road, Brookhaven, PA 19015 | 2014-10-29 |
| 1811306038 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 813 W Rolling Rd, Springfield, PA 19064-1122 | 2014-08-13 |
| 1972911337 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 4317 Bethel Rd, Upper Chichester, PA 19061-2710 | 2014-07-30 |
| 1245658228 | Communities of Don Guanella and Divine Providence | Intermediate Care Facility, Mentally Retarded | 940 Fairview Rd, Swarthmore, PA 19081-2913 | 2014-04-07 |
| 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.