BIACON FAMILY AND COMMUNITY SUPPORT SERVICES (NPI# 1477031029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477031029 |
| Entity Type | Organization |
| Organization Name | BIACON FAMILY AND COMMUNITY SUPPORT SERVICES |
| Other Organization Name | BIACON FAMILY AND COMMUNITY SUPPORT SERVICES |
| Practice Address |
205 Pennford Pl Garnet Valley PA 19060-2407 |
| Practice Telephone | 6104858959 |
| Mailing Telephone | 6104858959 |
| Enumeration Date | 2018-08-04 |
| Last Update Date | 2018-08-04 |
| Authorized Official Name | MR. IBRAHIM CONTEH (COO) |
| Authorized Official Telephone | 6103045770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | MPI | 103271135-0002 | 01 |
| Other Name | Type Code |
|---|---|
| BIACON Family and Community Support Services | Doing Business As Name - Organization |
| Street Address |
205 PENNFORD PL |
| City | GARNET VALLEY |
| State | PA |
| Zip Code | 19060-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841857075 | Osman Conteh | Registered Nurse | 205 Pennford Pl, Garnet Valley, PA 19060-2407 | 2019-05-22 |
| 1356907059 | Ibrahim Conteh | Registered Nurse | 205 Pennford Pl, Garnet Valley, PA 19060-2407 | 2019-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801060298 | K&k Rx Services, Lp | Pharmacy | 3070 Mccann Farm Dr, Ste 101, Garnet Valley, PA 19060 | 2008-04-16 |
| 1740305887 | Garnet Valley Sprot and Spine Chiropactic Ctr | Chiropractor | 3039 Foulk Road, Garnet Valley, PA 19060 | 2007-03-20 |
| 1447394770 | Lucretia Fitzpatrick | Physical Medicine & Rehabilitation | 901 Sarasota Path, Garnet Valley, PA 19060 | 2007-02-19 |
| 1851832646 | K & K Rx Services, Lp | Pharmacy | 3070 Mccann Farm Dr, Suite 101, Garnet Valley, PA 19060 | 2017-03-14 |
| 1467909283 | K&k Rx Services, Lp | Pharmacy | 3070 Mccann Farm Dr, Suite 101, Garnet Valley, PA 19060 | 2016-09-09 |
| 1851848634 | K&k Rx Services, Lp | Pharmacy | 3070 Mccann Farm Dr, Suite 101, Garnet Valley, PA 19060 | 2016-09-08 |
| 1497025662 | Diana Foresta | Speech-Language Pathologist | 1002 Shavertown Rd, Garnet Valley, PA 19060-1108 | 2012-01-05 |
| 1104201359 | Jennifer Moore | Speech-Language Pathologist | 8 Cider Mill Ct, Garnet Valley, PA 19060-1117 | 2015-07-29 |
| 1225647654 | Matthew Idelson | Pharmacist | 22 Vernon Ln, Garnet Valley, PA 19060-1319 | 2020-07-31 |
| 1659681849 | Christiana Care Healthcare System | Community/Behavioral Health | 1 Vernon Ln, Garnet Valley, PA 19060-1320 | 2010-10-21 |
| Find all providers in zip 19060 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887514 | Thakker & Amin LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 91 N York Rd Apt 400-09, Willow Grove, PA 19090-2155 | 2020-09-25 |
| 1104463736 | Embolden Community Allies | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4000 Gypsy Ln Unit 204, Philadelphia, PA 19129-5405 | 2019-12-02 |
| 1528605243 | United Care Community Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1201 Overlook Rd Apt 6, Whitehall, PA 18052-6124 | 2019-12-01 |
| 1326684010 | Active Community Support | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3505 W Moreland Rd, Willow Grove, PA 19090-3831 | 2019-11-18 |
| 1851851083 | A Sun Starr Independent Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1673 Suburban Ave, Pittsburgh, PA 15216-3722 | 2019-03-22 |
| 1669953642 | Keystone Community Resources, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 767 State Route 307, Spring Brook Township, PA 18444-6463 | 2018-08-27 |
| 1134623515 | Woods Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 361 South Bellevue Avenue, Langhorne, PA 19047 | 2018-03-21 |
| 1518470624 | Cdig Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1714 Danforth St, Philadelphia, PA 19152-1802 | 2017-11-10 |
| 1619488434 | Creative Dialogues, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 828 Renier Ave, Turtle Creek, PA 15145-1608 | 2017-10-19 |
| 1699285676 | Antonio Romero | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1045 N Leithgow St, Philadelphia, PA 19123-1420 | 2017-10-04 |
| Find all providers with the same taxonomy | ||||
| City | GARNET VALLEY |
| Zip Code | 19060 |
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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.