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PRIMARY CARE SERVICES AT GRANITE FARMS ESTATES
NPI 1164967618
Internal Medicine in Media, PA

Active since December 19, 2016CLIA 39D2156132 · Waiver
1343 W BALTIMORE PIKE, MEDIA, PA 19063(610) 358-3440(610) 558-9660 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Primary Care Services At Granite Farms Estates NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY CARE SERVICES AT GRANITE FARMS ESTATES (NPI 1164967618) is a healthcare organization registered as an internal medicine in Media, Pennsylvania and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists Susan Ahern, Svp, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164967618
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameACTS SIGNATURE COMMUNITY SERVICES, INC.
Location Address1343 W BALTIMORE PIKEMedia, PA 19063-5531
Mailing Address420 Delaware DrFort Washington, PA 19034-2711 · (215) 661-8330 · Fax (215) 661-8336
Phone(610) 358-3440
Fax(610) 558-9660
Organization SubpartNo
Authorized OfficialSusan AhernSvp, Cfo · (215) 661-8330
Enumeration DateDecember 19, 2016
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1164967618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1343 W BALTIMORE PIKE, Media, PA 19063
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Other Names 1

Doing Business AsPrimary Care Services At Granite Farms Estates

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2156132

Primary Care Services At Granite Farms Estates · Media, PA
Active · expires Oct 10, 2026
CLIA Number39D2156132
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorDr. Michele K. Boornazian
Laboratory Phone(610) 358-3440
Laboratory LocationPrimary Care Services At Granite Farms Estates1343 W Baltimore Pike, Media, PA 19063
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. VICTORIA SHULESKI PTA
Physical Therapy Assistant
1343 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 358-0510
COURTNEY HEYS
Physical Therapist
1343 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (484) 441-0507
ACTS RETIREMENT-LIFE COMMUNITIES INC
Skilled Nursing Facility
1343 W BALTIMORE PIKE, GRANITE FARMS ESTATES
MEDIA, PA 19063
Delaware County (610) 358-3440
SUSAN A FITZGERALD PT, DPT
Physical Therapist
1343 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 358-3440
MR. AUGUST BEHLING IV COTA/L
Occupational Therapy Assistant
1343 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 358-3440
SAMANTHA LORD
Rehabilitation Practitioner
1343 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 358-3440
MS. TARA J BABE OTR/L
Occupational Therapist
1343 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 358-3440
KATHERINE NICOLE FONSECA
Occupational Therapist
1343 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 359-3440

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Acts Signature Community Services, Inc.'s NPI number?

The NPI number for Acts Signature Community Services, Inc. is 1164967618. It was assigned to this organization in the NPPES registry on December 19, 2016. The provider is doing business as Primary Care Services At Granite Farms Estates.

Where is Acts Signature Community Services, Inc. located?

Acts Signature Community Services, Inc. is located at 1343 W Baltimore Pike, Media, PA 19063. The listed phone number is (610) 358-3440.

What is Acts Signature Community Services, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Acts Signature Community Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2156132) is associated with this NPI, valid through October 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Acts Signature Community Services, Inc. was last updated on February 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.