ELWYN (NPI# 1932645108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932645108 |
| Entity Type | Organization |
| Organization Name | ELWYN |
| Practice Address |
5218 Germantown Ave Philadelphia PA 19144-2347 |
| Mailing Address |
111 Elwyn Rd Elwyn PA 19063-4622 |
| Practice Telephone | 6108912000 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Authorized Official Name | MR. DANIEL REARDON (COO) |
| Authorized Official Telephone | 6108912000 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225546245 | Elwyn | Community/Behavioral Health | 3300 Henry Ave Ste 401, Philadelphia, PA 19129-1121 | 2018-01-11 |
| 1013422526 | Elwyn | Community/Behavioral Health | 1001 Sterigere St Bldg 9-af, Norristown, PA 19401-5300 | 2017-12-06 |
| 1730542861 | Elwyn | Local Education Agency (LEA) | 419 Avenue of The States, 3rd Floor, Chester, PA 19013-4451 | 2016-04-05 |
| 1386898401 | Elwyn | Community/Behavioral Health | 2003 N 3rd St, Harrisburg, PA 17102-1804 | 2008-11-17 |
| 1083878482 | Elwyn | Community/Behavioral Health | 1347 Hausman Rd, Allentown, PA 18104-9063 | 2008-07-15 |
| 1164681821 | Elwyn | Community/Behavioral Health | 4017 Ludlow Street, Philadelphia, PA 19104 | 2008-06-06 |
| 1902072358 | Elwyn | Community/Behavioral Health | 4040 Market St, Family Based Mental Health Services, Philadelphia, PA 19104-3003 | 2008-05-06 |
| 1700910999 | Elwyn | Residential Treatment Facility, Emotionally Disturbed Children | 120 S Chester Pike, Glenolden, PA 19036-1840 | 2007-03-16 |
| 1336273523 | Elwyn | Residential Treatment Facility, Emotionally Disturbed Children | 126 S Chester Pike, Glenolden, PA 19036-1806 | 2007-03-16 |
| 1457485955 | Elwyn | Residential Treatment Facility, Emotionally Disturbed Children | 114 S Chester Pike, Glenolden, PA 19036-1839 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELWYN | 111 Elwyn Rd, Media, PA 19063-4622 |
| System for Award Management (SAM) Entities | ELWYN CALIFORNIA REHABILITATION CENTER | 18325 Mt Baldy Cir, Fountain Valley, CA 92708-6115 |
| System for Award Management (SAM) Entities | ELWYN INDUSTRIES | 1 Judy Way, Aston, PA 19014-2262 |
| System for Award Management (SAM) Entities | ELWYN WILDFIRE | 1352 Northern Ct, Fort Collins, CO 80521-1275 |
| Colorado Business Entities | Elwyn Wildfire LLC | 1352 Northern Court, Fort Collins, CO 80521 |
| Street Address |
5218 GERMANTOWN AVE |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19144-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174053714 | Claudia Palacio | Social Worker | 85 East Logan St., Philadelphia, PA 19144 | 2017-06-15 |
| 1265963391 | Sunil Senior Care LLC | Custodial Care Facility | 220 E Chelten Ave, Philadelphia, PA 19144 | 2017-03-21 |
| 1114460276 | Richard Mitchell | Social Worker | 6327 Burbridge, Philadelphia, PA 19144 | 2016-11-22 |
| 1417399312 | Resources for Human Development | Community/Behavioral Health | 5536 Pulaski Avenue, Philadelphia, PA 19144 | 2013-07-22 |
| 1457601494 | Maikel Griages | Podiatrist | 5555 Wissahickon Avenue, Apt. 216, Philadelphia, PA 19144 | 2012-09-18 |
| 1982977179 | Hota Edward Liu | Dentist | 515 West Chelten Ave, Suite #1, Philadelphia, PA 19144 | 2012-02-17 |
| 1366724585 | Rasidah Campbell | Pharmacist | 5627 Germantown Avenue, Walgreens Pharmacy, Philadelphia, PA 19144 | 2011-09-14 |
| 1326344755 | Lakeva Hamilton-killion | Case Management | 633 W Ritenhouse Street, Apartment B702, Philadelphia, PA 19144 | 2011-02-02 |
| 1083924682 | Merakey Philadelphia | Community/Behavioral Health | 235 - 237 School House Lane, Philadelphia, PA 19144 | 2010-10-15 |
| 1235440785 | Faisal Javed | Internal Medicine | 633 W Rittenhouse Street, Apt B504, Philadelphia, PA 19144 | 2010-06-30 |
| Find all providers in zip 19144 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457892283 | Evangelical Alumni Inc. | Community Based Residential Treatment Facility, Mental Illness | 3232 N 33rd St, 3232 N 33rd St, Philadelphia, PA 19129-1202 | 2017-03-13 |
| 1639536949 | Path (people Acting To Help) | Community Based Residential Treatment Facility, Mental Illness | 8429 Castor Ave, Philadelphia, PA 19152-1903 | 2016-01-19 |
| 1821453150 | Community Outreach Program | Community Based Residential Treatment Facility, Mental Illness | 1311 N 52nd St, Philadelphia, PA 19131-4412 | 2015-12-31 |
| 1154786564 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 716 Rhawn St, Philadelphia, PA 19111-2554 | 2015-12-30 |
| 1427413863 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 6818 Ditman St, Philadelphia, PA 19135-2204 | 2015-12-30 |
| 1124483557 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 920 Griffith St, Philadelphia, PA 19111-2615 | 2015-12-30 |
| 1922463355 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 2340 Benson St # 1, Philadelphia, PA 19152-2504 | 2015-12-30 |
| 1104281831 | Path (people Acting To Help), Inc. | Community Based Residential Treatment Facility, Mental Illness | 3131 Willits Rd, Philadelphia, PA 19114-3816 | 2015-12-23 |
| 1063895571 | James Nathaniel | Community Based Residential Treatment Facility, Mental Illness | 9 W Phil Ellena St, Philadelphia, PA 19119-2725 | 2015-07-01 |
| 1841670403 | Amazings Pathways | Community Based Residential Treatment Facility, Mental Illness | 1226 E Price St, Philadelphia, PA 19138-1913 | 2015-06-08 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19144 |
Please comment or provide details below to improve the information on ELWYN.
| 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.