Easter Seals Of Southeastern Pennsylvania

LBN: Easter Seals Of Southeastern Pennsylvania
Easter Seals Of Southeastern Pennsylvania is an health care organization with primary practice located at 3975 Conshohocken Ave , Philadelphia PA 19131-5426. The organization recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as the primary health care specialty. Easter Seals Of Southeastern Pennsylvania can be contacted via phone (215) 879-1000, or through Lewis, Ivy C via phone (215) 879-3542.

Contact Information

Primary practice address
3975 Conshohocken Ave Philadelphia PA 19131-5426
Phone: (215) 879-1000
Fax: (215) 879-8424
Website:
Map and Directions
Authorized official contact:
Name: Lewis, Ivy C
Phone: (215) 879-3542

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1962626127
LBN Legal business name Easter Seals Of Southeastern Pennsylvania
DBA Doing business as
Authorized official Lewis, Ivy C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Mar 24th, 2015 - about 11 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 1962626127 NPPES
Pennsylvania MEDICAID 1000005500020

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