SAINT AGNES CONTINUING CARE CENTER (NPI# 1881738565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881738565 |
| Entity Type | Organization |
| Organization Name | SAINT AGNES CONTINUING CARE CENTER |
| Practice Address |
1900 S Broad St Philadelphia PA 19145-2304 |
| Practice Telephone | 2153394223 |
| Practice Fax Number | 2153390482 |
| Mailing Telephone | 2153394223 |
| Mailing Fax Number | 2153390482 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2019-04-11 |
| Authorized Official Name | MR. DAVID SCHMOTZER SR. (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 2153394533 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1003050510004 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093840365 | Saint Agnes Continuing Care Center | Clinic/Center | 1500 S Columbus Blvd, Philadelphia, PA 19147-5510 | 2007-02-23 |
| Street Address |
1900 S BROAD ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19145-2304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609871318 | St. Agnes Long Term Intensive Care, LLP | Long Term Care Hospital | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2005-06-17 |
| 1629405303 | Daisy Tran | Nurse Practitioner | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2013-09-26 |
| 1023243086 | Industricare Physical Rehabilitation PC | Physical Medicine & Rehabilitation | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2009-05-20 |
| 1831395961 | Matthew A Greene | Physical Therapist | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2007-06-25 |
| 1730398348 | Kristin M Siegel | Physical Therapist | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2007-05-21 |
| 1477628485 | Mobile Wound Consultants | Surgery | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2006-11-22 |
| 1447320551 | A David Mingle | Family Medicine | 1900 S Broad St, St Agnes Life, Philadelphia, PA 19145-2304 | 2006-11-08 |
| 1497839054 | Donna Brady Raziano | Internal Medicine | 1900 S Broad St, Life, Philadelphia, PA 19145-2304 | 2006-10-24 |
| 1710081583 | Bio-medical Applications of Pennsylvania, Inc. | Clinic/Center | 1900 S Broad St, Philadelphia, PA 19145-2304 | 2006-09-12 |
| 1043232457 | Adena Greenberg | Pediatrics | 1900 S Broad St, 2nd Flr, Philadelphia, PA 19145 | 2006-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564350 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2300a Rear W Oregon Ave, Philadelphia, PA 19145 | 2020-10-05 |
| 1376069559 | Kyle James Hughes | Physical Therapist | 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 | 2017-08-18 |
| 1821519752 | John A Takacs Dmd | Clinic/Center | 1707w Passyunk Ave, Philadelphia, PA 19145 | 2017-06-30 |
| 1033573209 | Kenneth Donahue | Dentist | 1517 Packer Avenue, Philadelphia, PA 19145 | 2016-04-13 |
| 1437516895 | Kimberly Wyand | Physical Therapist | 2129 Oregon St, Philadelphia, PA 19145 | 2016-01-15 |
| 1760856538 | Liji Vipin | Nurse Practitioner | 1615 Oregon Ave, Philadelphia, PA 19145 | 2015-11-17 |
| 1528333846 | Gina Marie Doyle | Registered Nurse | 1930 S. Broad Street, Philadelphia, PA 19145 | 2012-03-20 |
| 1639446214 | Thao T Tran | Pharmacist | 2014-24 South Broad St, Philadelphia, PA 19145 | 2011-11-25 |
| 1649573171 | Phyllis Yang | Internal Medicine | 1700 S Broad St, Unit 201, Philadelphia, PA 19145 | 2010-12-05 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| Find all providers in zip 19145 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279657 | Innovage Pennsylvania Life, LLC | PACE Provider Organization | 4401 Megargee St, Philadelphia, PA 19136-2160 | 2020-09-15 |
| 1265919377 | Cozy Caregivers Homecare Agency | PACE Provider Organization | 5031 Baltimore Ave Apt 1, Philadelphia, PA 19143-1670 | 2018-07-20 |
| 1033618996 | Acts of Faith Corp | PACE Provider Organization | 2453 S 61st St, Philadelphia, PA 19142-3215 | 2018-02-06 |
| 1538210380 | Trustees of The University of Pennsylvania | PACE Provider Organization | 4101 Woodland Ave, Philadelphia, PA 19104-4510 | 2007-01-16 |
| 1710347661 | Trinity Health Life Pennsylvania, Inc. | PACE Provider Organization | 4508 Chestnut St, Philadelphia, PA 19139-3608 | 2016-03-03 |
| 1174881627 | St. Agnes Continuing Care Center | PACE Provider Organization | 1930 S Broad St, Philadelphia, PA 19145-2328 | 2012-05-02 |
| 1104954569 | Innovage Pennsylvania Life, LLC | PACE Provider Organization | 6950 Germantown Ave, Philadelphia, PA 19119 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102731 | Bitner Counseling, LLC | PACE Provider Organization | 1 Northgate Sq Ste 215, Greensburg, PA 15601-1373 | 2020-07-27 |
| 1477949139 | Care At Home of Delaware Valley | PACE Provider Organization | 102 Center Mill Rd, Chadds Ford, PA 19317-9212 | 2015-04-09 |
| 1659776193 | Viecare Armstrong, LLC | PACE Provider Organization | 115 Nolte Drive Ext, Kittanning, PA 16201 | 2014-10-27 |
| 1851647796 | Albright Care Services | PACE Provider Organization | 113 S 9th St, Lebanon, PA 17042-5108 | 2012-07-30 |
| 1073802013 | Support for Independent Living, LLC | PACE Provider Organization | 2320 Haverford Rd, Suite 220, Ardmore, PA 19003-2913 | 2011-03-30 |
| 1023289147 | Phi Life | PACE Provider Organization | 1217 Slate Hill Rd, Camp Hill, PA 17011-8012 | 2008-03-17 |
| 1740467570 | Spiritrust Lutheran Life | PACE Provider Organization | 1920 Good Hope Road, Enola, PA 17025 | 2008-01-23 |
| 1710182647 | Viecare Butler, LLC | PACE Provider Organization | 229 W Diamond St, Butler, PA 16001-5784 | 2007-06-20 |
| 1891822284 | Albright Life | PACE Provider Organization | 417 W Frederick St, Lancaster, PA 17603-2804 | 2007-02-27 |
| 1902932007 | Albright Care Services | PACE Provider Organization | 400 Lycoming St, Williamsport, PA 17701-4974 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19145 |
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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.