BANCROFT NEUROHEALTH
NPI 1720105570
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Philadelphia, PA

NPI Status: Active since March 26, 2007

Contact Information

3901 CONSHOHOCKEN AVE
GREENBRIAR - #4311
PHILADELPHIA, PA
ZIP 19131
Phone: (215) 877-2373
Fax: (610) 747-0294

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About BANCROFT NEUROHEALTH

This page provides the complete NPI Profile along with additional information for Bancroft Neurohealth, a provider established in Philadelphia, Pennsylvania operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1720105570 assigned on March 2007. The practitioner's primary taxonomy code is 320900000X with license number 135180 (PA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's former legal business name is The Walker Memorial Training Center. The authorized official of this NPI record is Sharon E Williams-taylor M.s. Stldr (Senior Director)

NPI
1720105570
Provider Legal Name
BANCROFT NEUROHEALTH
Other Organization Name
THE WALKER MEMORIAL TRAINING CENTER
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
3901 CONSHOHOCKEN AVE GREENBRIAR - #4311 PHILADELPHIA, PA 19131
Location Phone
(215) 877-2373
Location Fax
(610) 747-0294
Mailing Address
304 OLD LANCASTER RD MERION STATION, PA 19066
Mailing Phone
(610) 727-0290
Mailing Fax
(610) 747-0294
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2007
Last Update Date
03-14-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
135180
License State
PA
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHARON E WILLIAMS-TAYLOR M.S. STLDR

Authorized Official Title
SENIOR DIRECTOR
Authorized Official Phone
(610) 747-0290

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
=========-0035MEDICAID (05)PA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720105570
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27402010514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 2 + 0 + 1 + 0 + 5 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1720105570 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043218175MR. JONAS KOSIK
Individual
Pharmacist3901 CONSHOHOCKEN AVE
PHILADELPHIA, PA 19131
(215) 879-2520
1366770158YAPA APARTMENT LIVING PROGRAM, INC
Organization
Community/Behavioral Health3901 CONSHOHOCKEN AVE
PHILADELPHIA, PA 19131
(215) 997-9959
1831479047DOUGLASS BREATH OF LIFE
Organization
Respiratory Therapist, Certified3901 CONSHOHOCKEN AVE #8308
PHILADELPHIA, PA 19131
(215) 877-1114
1750659439DR. SU JUNG HONG PHARMD
Individual
Pharmacist3901 CONSHOHOCKEN AVE
PHILADELPHIA, PA 19131
(215) 879-2520
1487806048 MUHAMMAD IRFAN SAEED M.D
Individual
Transplant Surgery3901 CONSHOHOCKEN AVE APT # 6401
PHILADELPHIA, PA 19131
(267) 992-0452
1457431595WEST VILLAGE PHARMACY INC
Organization
Pharmacy3901 CONSHOHOCKEN AVE
PHILA, PA 19131
(215) 879-2520
1669532628ANGEL'S CARE INC
Organization
Ambulance (Land Transport)3901 CONSHOHOCKEN AVE SUITE 2
PHILADELPHIA, PA 19131
(215) 288-5200
1164289591WEST VILLAGE PHARMACY INC
Organization
Pharmacy (Long Term Care Pharmacy)3901 CONSHOHOCKEN AVE
PHILADELPHIA, PA 19131
(215) 879-2520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720105570, enumerated in the NPI registry as an "organization" on March 26, 2007

The provider is located at 3901 Conshohocken Ave Greenbriar - #4311 Philadelphia, Pa 19131 and the phone number is (215) 877-2373

This medical organization specializes in Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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