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MALVERN CONSTITUTION LLC
NPI 1700438660
Psychiatric Hospital in Philadelphia, PA

Active since July 11, 2019
1930 S BROAD ST, PHILADELPHIA, PA 19145(610) 941-3390 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2025, Oct 6, 2025, Jul 11, 2019 (3 updates tracked since 2019).

About Malvern Constitution Llc NPPES

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

MALVERN CONSTITUTION LLC (NPI 1700438660) is a healthcare organization registered as a psychiatric hospital in Philadelphia, Pennsylvania and active in the NPI registry since July 2019. The organization maintains a secondary practice location in Philadelphia and lists Glenn Gabris, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1700438660
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameMALVERN CONSTITUTION LLC
Location Address1930 S BROAD STPhiladelphia, PA 19145-2328
Mailing Address512 E. Township Line Road, Suite 115, Two Valley SquareBlue Bell, PA 19422 · (610) 941-3390 · Fax (610) 941-3391
Phone(610) 941-3390
Organization SubpartNo
Authorized OfficialGlenn GabrisChief Financial Officer · (610) 941-3390
Enumeration DateJuly 11, 2019
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1700438660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
1930 S BROAD ST, Philadelphia, PA 19145
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Secondary Practice Location 1

Location 13905 Ford RdPhiladelphia, PA 19131-2824 · Phone (610) 480-8919

Other Providers at the Same Location NPPES 20

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

MISS JAQUELINE D INTRIAGO
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563
MS. SHEARA YOUNG
Social Worker (Clinical)
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4405
MS. SHINIA BRADLEY RN
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563
AMANDA MICHELLE AYALA COTA
Occupational Therapy Assistant
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (267) 570-5342
DR. NIMESH PATEL MD
Hospitalist
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (267) 570-5200
SITAR ENTERPRISE LLC
Pharmacy (Community/Retail Pharmacy)
1930 S BROAD ST, UNIT 15
PHILADELPHIA, PA 19145
Philadelphia County (215) 661-1211
CHRISTINE MATTEO RN
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563
MRS. PATRICIA ANNE WESTERFER RN
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Philadelphia County (215) 339-4563

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 Malvern Constitution LLC's NPI number?

The NPI number for Malvern Constitution LLC is 1700438660. It was assigned to this organization in the NPPES registry on July 11, 2019.

Where is Malvern Constitution LLC located?

Malvern Constitution LLC is located at 1930 S Broad St, Philadelphia, PA 19145. The listed phone number is (610) 941-3390.

What is Malvern Constitution LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

When was this NPI record last updated?

The NPPES record for Malvern Constitution LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.