PRIME HEALTHCARE SERVICES ROXBOROUGH LLC (NPI# 1730451899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730451899 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES ROXBOROUGH LLC |
| Other Organization Name | ROXBOROUGH MEMORIAL HOSPITAL |
| Practice Address |
5800 Ridge Ave Philadelphia PA 19128-1737 |
| Mailing Address |
3300 E Guasti Rd 3rd Floor Ontario CA 91761-8655 |
| Practice Telephone | 2154839900 |
| Practice Fax Number | 2154874274 |
| Mailing Telephone | 9092354400 |
| Mailing Fax Number | 9092354419 |
| Enumeration Date | 2012-02-06 |
| Last Update Date | 2012-02-06 |
| Authorized Official Name | MICHAEL SARRAO (VICE-PRESIDENT) |
| Authorized Official Telephone | 9092354400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| Roxborough Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093087157 | Prime Healthcare Services Roxborough LLC | Psychiatric Unit | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2012-02-06 |
| 1083986129 | Prime Healthcare Services Roxborough LLC | General Acute Care Hospital | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2012-02-06 |
| Street Address |
5800 RIDGE AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19128-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959941 | Freda Lozanoff | Emergency Medicine | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2005-08-15 |
| 1841818507 | Margi Gami | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-07-09 |
| 1447885132 | Ayeesha Adolphus | Nurse Practitioner | 5800 Ridge Ave, Philadelphia, PA 19128 | 2020-03-03 |
| 1255986055 | Gagandeep Sandhu | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-08-08 |
| 1316509177 | Suraj Hansalia | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-07-02 |
| 1770145856 | Ashmi Shah | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2019-06-28 |
| 1538636550 | Julie A Laureni | Physician Assistant | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-10-29 |
| 1649766809 | Sang Hyub Kim | Podiatrist | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-07-10 |
| 1790276640 | James Robert Brandt | Student in an Organized Health Care Education/Training Program | 5800 Ridge Ave, Philadelphia, PA 19128 | 2018-05-27 |
| 1194236273 | Brian Jones Jr. | Physician Assistant | 5800 Ridge Ave, Suite 234, Philadelphia, PA 19128 | 2017-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851877179 | Andrew Mermelstein | Podiatrist | 5800 Roxborough Avenue, Philadelphia, PA 19128 | 2018-07-19 |
| 1811499361 | Ursula Wacyk | Social Worker | 6122 Ridge Avenue, Philadelphia, PW 19128 | 2018-03-01 |
| 1417478454 | Chelsea Lynn Roberts | Physician Assistant | 707 Autumn River Run, Philadelphia, PA 19128 | 2017-06-29 |
| 1174060503 | Melody Ann Piranian | Nurse Practitioner | Andorra Pediatrics, 8945 Ridge Ave St 5, Phila, PA 19128 | 2017-01-24 |
| 1154874410 | Meghan Smith | Pharmacist | 5927-59 Ridge Ave, Philadelphia, PA 19128 | 2016-08-03 |
| 1356797880 | Jenna Angelo | Registered Nurse | 457 Spring Lane, Philadelphia, PA 19128 | 2016-05-13 |
| 1689049843 | Newcourtland Senior Centers | Clinic/Center | 4200b Mitchell Street, Suie 1000, Philadelphia, PA 19128 | 2015-12-14 |
| 1235519331 | Merin Wexler | Social Worker | 6060 Ridge Avenue, Suite 210, Philadelphia, PA 19128 | 2015-06-03 |
| 1457754335 | Sarah De Simone | Specialist/Technologist | 318 Fountain Street, Philadelphia, PA 19128 | 2014-10-06 |
| 1609280049 | Sylvia Russianoff | Counselor | 128 Rochelle Avenue, Philadelphia, PA 19128 | 2014-06-13 |
| Find all providers in zip 19128 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124269261 | Temple University Hospital | Rehabilitation Unit | 612 W Naomi St, Philadelphia, PA 19144-3711 | 2009-03-19 |
| 1841659240 | Good Shepherd Penn Partners | Rehabilitation Unit | 3400 Spruce St, 1 White Ot/pt Department, Philadelphia, PA 19104-4238 | 2016-02-15 |
| 1043517899 | Pennsylvania Spine & Headache Center, PC | Rehabilitation Unit | 3 N 2nd St, Ste 3, Philadelphia, PA 19106-2208 | 2011-02-14 |
| 1750694055 | Thomas Jefferson University | Rehabilitation Unit | 3801 Conshohocken Ave, Philadelphia, PA 19131-5530 | 2010-07-15 |
| 1134321748 | Children's Hospital of Philadelphia | Rehabilitation Unit | 34th & Civic Center Blvd, Parc Business Services, Philadelphia, PA 19104-4306 | 2007-06-05 |
| 1033129606 | Thomas Jefferson University Hospitals Inc | Rehabilitation Unit | 111 S 11th St, 2210 Gibbon Building, Philadelphia, PA 19107-4824 | 2006-08-08 |
| 1285659300 | Solis Healthcare, Lp | Rehabilitation Unit | 5800 Ridge Ave, Philadelphia, PA 19128-1737 | 2006-07-12 |
| 1467408120 | Jeanes Hospital | Rehabilitation Unit | 7600 Central Ave, Philadelphia, PA 19111-2442 | 2006-05-25 |
| 1114995156 | The Pennsylvania Hospital of The University of Pennsylvania Health Sys | Rehabilitation Unit | 800 Spruce St, Philadelphia, PA 19107-6130 | 2006-03-08 |
| 1295706422 | Trustees of The University of Pennsylvania | Rehabilitation Unit | 1800 Lombard St, Philadelphia, PA 19146-8400 | 2006-01-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19128 |
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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.