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ICF MR ADULT MAIN CAMPUS
NPI 1801936927
Intermediate Care Facility, Intellectual Disabilities in Elwyn, PA

Active since February 07, 2007
111 ELWYN RD, ICF MR ADULT RESIDENTIAL, ELWYN, PA 19063(610) 891-7692 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2024, Jan 27, 2022, Dec 8, 2015 (3 updates tracked since 2015).

About Icf Mr Adult Main Campus NPPES

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

ICF MR ADULT MAIN CAMPUS (NPI 1801936927) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Elwyn, Pennsylvania and active in the NPI registry since February 2007. The organization lists Donna K Busch, Dir Contracting And Credentialing, as its authorized official.

NPPES Registry Identity

NPI1801936927
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameELWYN OF PENNSYLVANIA AND DELAWARE
Location Address111 ELWYN RD, ICF MR ADULT RESIDENTIALElwyn, PA 19063-4622
Mailing Address111 Elwyn Rd, Icf Mr Adult ResidentialElwyn, PA 19063-4622 · (610) 891-7692
Phone(610) 891-7692
Organization SubpartNo
Authorized OfficialDonna K BuschDir Contracting And Credentialing · (452) 063-0284
Enumeration DateFebruary 7, 2007
Last NPPES UpdateMay 6, 20243 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
✔ NPI 1801936927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
111 ELWYN RD, Elwyn, PA 19063
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Other Names 1

Other NameIcf Mr Adult Main Campus

Other Identifiers 1

Medicaid1000021240254PA

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.

ELWYN OF PENNSYLVANIA AND DELAWARE
Clinic/Center (Mental Health (Including Community Mental Health Center))
111 ELWYN RD
MEDIA, PA 19063
Delaware County (610) 891-7317
MS. KIA MICHELE HUNTER M. S.
Counselor (Professional)
111 ELWYN RD
MEDIA, PA 19063
Delaware County (267) 666-7474
LONA OTERO OTRL
Occupational Therapist
111 ELWYN RD
ELWYN, PA 19063
Delaware County (610) 565-6770
SUSAN MATTHEWS LSW
Social Worker
111 ELWYN RD
ELWYN, PA 19063
Delaware County (610) 891-7007
FRANCESKA BENEDETTO MS, OT
Occupational Therapist
111 ELWYN RD
ELWYN, PA 19063
Delaware County (610) 891-2000
ELWYN
Local Education Agency (LEA)
111 ELWYN RD
ELWYN, PA 19063
Delaware County (610) 891-2519
RAMATULAI LATIFA KHAN
Behavior Analyst
111 ELWYN RD
MEDIA, PA 19063
Delaware County (302) 724-8114
VALERIE GRUBB LPT
Physical Therapist
111 ELWYN RD
ELWYN, PA 19063
Delaware County (610) 565-6770

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 Elwyn Of Pennsylvania And Delaware's NPI number?

The NPI number for Elwyn Of Pennsylvania And Delaware is 1801936927. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is also known as Icf Mr Adult Main Campus.

Where is Elwyn Of Pennsylvania And Delaware located?

Elwyn Of Pennsylvania And Delaware is located at 111 Elwyn Rd Icf Mr Adult Residential, Elwyn, PA 19063. The listed phone number is (610) 891-7692.

What is Elwyn Of Pennsylvania And Delaware's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Elwyn Of Pennsylvania And Delaware was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.