PENN FOUNDATION, INC. (NPI# 1730364274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730364274 |
| Entity Type | Organization |
| Organization Name | PENN FOUNDATION, INC. |
| Other Organization Name | MENTAL HEALTH - OMHSAS |
| Practice Address |
807 Lawn Ave Sellersville PA 18960-1549 |
| Mailing Address |
807 Lawn Ave P.o. Box 32 Sellersville PA 18960-1549 |
| Practice Telephone | 2152576551 |
| Practice Fax Number | 2152579347 |
| Mailing Telephone | 2152576551 |
| Mailing Fax Number | 2152579347 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2010-10-13 |
| Authorized Official Name | WAYNE MUGRAUER (PRESIDENT/CEO) |
| Authorized Official Telephone | 2152576551 |
| Authorized Official Credential | M.P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Mental Health - OMHSAS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100531 | Penn Foundation, Inc. | Community/Behavioral Health | 271 Bethlehem Pike Ste 201, Colmar, PA 18915 | 2018-07-09 |
| 1013345909 | Penn Foundation, Inc. | Community/Behavioral Health | 600 Rickert Rd, Sellersville, PA 18960-3420 | 2013-10-31 |
| 1366789240 | Penn Foundation, Inc. | Counselor | 101 Pebble Woods Dr, Doylestown, PA 18901-2907 | 2013-01-11 |
| 1497028930 | Penn Foundation, Inc. | Community Based Residential Treatment Facility, Mental Illness | 30 Loux Ln, Sellersville, PA 18960-2714 | 2012-02-14 |
| 1760755201 | Penn Foundation, Inc. | Community Based Residential Treatment Facility, Mental Illness | 50 Loux Ln, Sellersville, PA 18960-2804 | 2012-02-14 |
| 1649548454 | Penn Foundation, Inc. | Community/Behavioral Health | 122 W Ridge Ave, Sellersville, PA 18960-2541 | 2011-12-07 |
| 1801163936 | Penn Foundation, Inc. | Community/Behavioral Health | 500 Fairview Ave, Quakertown, PA 18951-2850 | 2011-11-17 |
| 1376673202 | Penn Foundation, Inc. | Case Management | 64 N County Line Rd, Souderton, PA 18964-1159 | 2007-03-07 |
| 1679116099 | Penn Foundation, Inc. | Clinic/Center | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-10-18 |
| 1386912194 | Penn Foundation, Inc. | Community/Behavioral Health | 1000 Washington Ave, Sellersville, PA 18960-1538 | 2011-12-07 |
| Street Address |
807 LAWN AVE |
| City | SELLERSVILLE |
| State | PA |
| Zip Code | 18960-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028608 | Yvette Estelle Hoagland | Nurse Practitioner | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2005-10-26 |
| 1790315109 | Angela Clymer | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2020-01-24 |
| 1558991059 | Jason Willis | Case Manager/Care Coordinator | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2020-01-23 |
| 1851921407 | Amy Connelly | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2020-01-23 |
| 1104464189 | Lynn Mills | Case Manager/Care Coordinator | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2019-12-20 |
| 1396388773 | Julie Painter | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2019-10-18 |
| 1679116099 | Penn Foundation, Inc. | Clinic/Center | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-10-18 |
| 1750932356 | Chad Wislmer | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-09-25 |
| 1750943916 | Allison D Keogh | Social Worker | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-07-08 |
| 1659834380 | Anthony Allsop | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
| 1386082162 | Grand View Hospital | Nutritionist | 700 Lawn Ave Ofc 4194, Sellersville, PA 18960 | 2013-06-13 |
| 1043654619 | Fresenius Medical Care Sellersville, LLC | Clinic/Center | 1105 Bethlehem Pike, Sellersville, PA 18960 | 2013-04-25 |
| 1417206020 | Mary Ziegler | Registered Nurse | 521 Broadway Ave, Sellersville, PA 18960 | 2012-08-29 |
| 1821220542 | Leslie Osimo | Registered Nurse | 29 Boulder Drive, Sellersville, PA 18960 | 2009-08-13 |
| 1770738700 | Tina Gambale | Occupational Therapist | 5 Narothyn Rd, Sellersville, PA 18960 | 2008-11-18 |
| 1316106362 | William Vernon Spear II | Dentist | 27 Temple Ave, Sellersville, PA 18960 | 2008-06-05 |
| 1376715318 | Nancy A Fickert | Registered Nurse | 5 Lifemark Dr, Sellersville, PA 18960 | 2008-03-31 |
| 1225255730 | Barc | Intermediate Care Facility, Mentally Retarded | 2003 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-19 |
| 1073739124 | Barc | Intermediate Care Facility, Mentally Retarded | 1410 Old Bethlehem Pike, Sellersville, PA 18960 | 2007-04-17 |
| Find all providers in zip 18960 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810742 | Penn Foundation Inc | Community/Behavioral Health | 807 Lawn Ave Bldg 5, Sellersville, PA 18960-1594 | 2020-08-06 |
| 1013345909 | Penn Foundation, Inc. | Community/Behavioral Health | 600 Rickert Rd, Sellersville, PA 18960-3420 | 2013-10-31 |
| 1649548454 | Penn Foundation, Inc. | Community/Behavioral Health | 122 W Ridge Ave, Sellersville, PA 18960-2541 | 2011-12-07 |
| 1447580238 | Maternal Child Consortium, Inc | Community/Behavioral Health | 253 North Main St, Sellersville, PA 18960-2350 | 2009-12-30 |
| 1043778145 | Penn Foundation Inc | Community/Behavioral Health | 807 Lawn Ave, Sellersville, PA 18960-1594 | 2019-03-07 |
| 1386101780 | Penn Foundation Inc | Community/Behavioral Health | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2019-02-22 |
| 1821584079 | Penn Foundation, Inc | Community/Behavioral Health | 711 Lawn Ave, Sellersville, PA 18960-1575 | 2018-07-10 |
| 1386912194 | Penn Foundation, Inc. | Community/Behavioral Health | 1000 Washington Ave, Sellersville, PA 18960-1538 | 2011-12-07 |
| 1407025265 | Penn Foundation, Inc. | Community/Behavioral Health | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2008-02-26 |
| 1659556199 | Penn Foundation, Inc. | Community/Behavioral Health | 700 Lawn Ave, Sellersville, PA 18960-1548 | 2008-01-03 |
| Find all providers in SELLERSVILLE | ||||
| City | SELLERSVILLE |
| Zip Code | 18960 |
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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.