LTC TREATMENT CENTER INC (NPI# 1366008260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366008260 |
| Entity Type | Organization |
| Organization Name | LTC TREATMENT CENTER INC |
| Practice Address |
7712 Buist Ave Apt B Philadelphia PA 19153-1705 |
| Mailing Address |
3720 Spruce St # 318 Philadelphia PA 19104-4115 |
| Practice Telephone | 2152826640 |
| Mailing Telephone | 2152826640 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | MATTHEW RANWWEILER (DIRECTOR) |
| Authorized Official Telephone | 2152826640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
7712 BUIST AVE APT B |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19153-1705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029013 | Trinh Phuong Nguyen | Physical Therapist | 2906-2908 Island Avenue, Philadelphia, PA 19153 | 2020-10-05 |
| 1356869960 | Smiles Art Inc | Dentist | 2801 Island Ave 7, Philadelphia, PA 19153 | 2017-09-04 |
| 1770947533 | Mega Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2707 S 86th St, Philadelphia, PA 19153 | 2016-04-07 |
| 1447569967 | West Philadelphia Community Mental Health Consortium | Community Based Residential Treatment Facility, Mental Illness | 7100 Lindberg Blvd, Philadelphia, PA 19153 | 2010-10-01 |
| 1053620583 | West Philadelphia Community Mental Health Consortium | Community Based Residential Treatment Facility, Mental Illness | 7900 Lindberg Blvd, Philadelphia, PA 19153 | 2010-10-01 |
| 1285823666 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3000 Island Ave., Ste. 8, Philadelphia, PA 19153 | 2007-10-22 |
| 1568581098 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 7000 Holstein Ave., Philadelphia, PA 19153 | 2007-03-28 |
| 1528101524 | Corliss Hobson | Nurse Practitioner | 7307 Merganser Pl, Philadelphia, PA 19153 | 2007-02-15 |
| 1164523064 | Thrift Drug Inc | Durable Medical Equipment & Medical Supplies | 2512 Island Avenue, Philadelphia, PA 19153 | 2006-09-26 |
| 1407825482 | Ronald Wayne Kimball | Ophthalmology | 7701 Lindbergh Blvd, Ste 713, Philadelphia, PA 19153 | 2006-03-14 |
| Find all providers in zip 19153 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1831755735 | Good Hope Health Center Corp | General Practice | 7712 Buist Ave, Philadelphia, PA 19153-1705 | 2019-05-15 |
| 1972072288 | Paula Alejandra Pino Pommer | General Practice | 3551 North Broad St., Philadelphia, PA 19140-4160 | 2018-11-15 |
| 1689183121 | Gem Wound Specialists, LLC | General Practice | 250 N Columbus Blvd Apt 707, Philadelphia, PA 19106-1458 | 2017-09-27 |
| 1023556875 | Bralow Medical Group | General Practice | 834 South St., Philadelphia, PA 19147 | 2017-02-01 |
| 1790135358 | Jeffrey Anthony Gazzara Jr. | General Practice | 621, 1515 Market Street, Suite 1200, Philadelphia, PA 19102-1921 | 2016-06-14 |
| 1053788240 | J. Todd Willis, Md Clinic | General Practice | 1003 Holland Avenue, Suite 104, Philadelphia, MS 39350-2180 | 2015-08-24 |
| 1225411655 | Brian Michael Lauer | General Practice | 609 E Passyunk Ave Apt 2, Philadelphia, PA 19147-1530 | 2015-07-02 |
| 1003294588 | Health Hero Pa LLC | General Practice | 217 Dickinson St, Philadelphia, PA 19147-6003 | 2015-05-15 |
| 1225447592 | Miriam Medical Clinics Inc | General Practice | 2847 N 26th St, Philadelphia, PA 19132-2508 | 2014-08-11 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19153 |
Please comment or provide details below to improve the information on LTC TREATMENT CENTER INC.
| 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.