Active Day Of The Northeast

LBN: Senior Care Centers Of Pennsylvania, Inc.
Active Day Of The Northeast is an health care organization with primary practice located at 9475 Roosevelt Blvd , Philadelphia PA 19114-2212. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Respite Care Facility / Respite Care. Ambulatory Health Care Facilities / Adult Day Care is the primary health care specialty. Senior Care Centers Of Pennsylvania, Inc. can be contacted via phone (215) 676-7800, or through Hockenbury, Debora via phone (215) 642-6600.

Contact Information

Primary practice address
9475 Roosevelt Blvd Philadelphia PA 19114-2212
Fax: (215) 676-5311
Website:
Authorized official contact:
Name: Hockenbury, Debora

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Respite Care Facility / Respite Care 385H00000X 311040 Pennsylvania

Profile Details

NPI number 1780804195
LBN Legal business name Senior Care Centers Of Pennsylvania, Inc.
DBA Doing business as Active Day Of The Northeast
Authorized official Hockenbury, Debora
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2007
Last updated Jun 29th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780804195 NPPES
Pennsylvania MEDICAID 1007616510009

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