COMMONWEALTH SUPPORTIVE SERVICES,LLC. (NPI# 1457772808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457772808 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH SUPPORTIVE SERVICES,LLC. |
| Other Organization Name | SAME AS ABOVE |
| Practice Address |
1602 Macdade Blvd Folsom PA 19033-1313 |
| Practice Telephone | 2672071941 |
| Mailing Telephone | 2672071941 |
| Enumeration Date | 2014-01-01 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | THOMAS KARGBO (C.E.O.) |
| Authorized Official Telephone | 2672071941 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | Nursing Service Providers | ||
| Y | 164W00000X | Licensed Practical Nurse | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Same as above | Doing Business As Name - Organization |
| Street Address |
1602 MACDADE BLVD |
| City | FOLSOM |
| State | PA |
| Zip Code | 19033-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917716 | Senior Services Management Group Inc. | Home Delivered Meals | 600 Swarthmore Avenue, Folsom, PA 19033 | 2019-01-31 |
| 1376055780 | Brittany Jeanette Pettit | Military Health Care Provider | 400 Milmont Ave, Milmont Park, PA 19033 | 2017-10-26 |
| 1922415645 | Ashley Jane Lee | Dietitian, Registered | 111 Macdade Blvd Apt B15, Folsom, PA 19033 | 2014-07-15 |
| 1609011956 | Reliant Home Health Agency, Inc. | Home Health | 1401 E Macdade Blvd., Folsom, PA 19033 | 2008-12-15 |
| 1053466730 | For Eyes Optical of Pa | Eyewear Supplier (Equipment, not the service) | 601 Macdade Blvd, Milmont Park, PA 19033 | 2007-01-24 |
| 1558413492 | Cynthia A Sacharok | Family Medicine | 500 Macdade Blvd, Milmont Park, PA 19033 | 2007-01-18 |
| 1144309675 | Bruce Allen Eppler | Chiropractor | 906 Macdade Blvd, Folsom, PA 19033 | 2006-11-03 |
| 1154359057 | John R Ferrari | Optometrist | 145 Macdade Blvd, Folsom, PA 19033 | 2006-06-29 |
| 1780624973 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 124 Morton Ave, Folsom, PA 19033 | 2006-06-07 |
| 1881696102 | Douglas J Farrell | Podiatrist | 550 Macdade Blvd, Folsom, PA 19033 | 2005-06-01 |
| Find all providers in zip 19033 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225267198 | Cynthia M Arnao | Licensed Practical Nurse | 1215 Swarthmore Ave, Folsom, PA 19033-1024 | 2009-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184723 | Mercedes Campbell | Licensed Practical Nurse | 255 E Lincoln Hwy, Penndel, PA 19047-4023 | 2020-11-05 |
| 1689272015 | Rosalia Martin | Licensed Practical Nurse | 1320 Matthew Dr, York, PA 17404-8605 | 2020-10-16 |
| 1730796335 | Stephanie Bellande | Licensed Practical Nurse | 2919 Birney Ave, Scranton, PA 18505-3131 | 2020-09-28 |
| 1740897818 | Ronald J Potocki Jr. | Licensed Practical Nurse | 8771 Findley Lake Rd, North East, PA 16428-4273 | 2020-09-23 |
| 1659987907 | Khatifa Bundy | Licensed Practical Nurse | 2327 W Hagert St, Philadelphia, PA 19132-4246 | 2020-09-22 |
| 1457967903 | Assanatu Monorma Bah | Licensed Practical Nurse | 800 Cottman Ave Apt 428, Philadelphia, PA 19111-3072 | 2020-09-21 |
| 1376159988 | Sierra Alexis Gadson | Licensed Practical Nurse | 2151 Knorr St, Philadelphia, PA 19149-2307 | 2020-09-18 |
| 1306451752 | Catherine L. Bredel | Licensed Practical Nurse | 1853 Brett St Apt 16, Pittsburgh, PA 15205-4015 | 2020-09-12 |
| 1134733215 | Erin Marie Mosser | Licensed Practical Nurse | 1 Eisenhower Drive, Student Health Services, University Park, PA 16802 | 2020-09-04 |
| 1346853090 | Marcia Tina Bristol | Licensed Practical Nurse | 1030 Elmwood Ave, Sharon Hill, PA 19079-1606 | 2020-08-24 |
| 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.