AMUDIPES BEHAVIORAL HEALTH NPI 1720394687

NPI Details

AMUDIPES BEHAVIORAL HEALTH is a home health in Bala Cynwyd, PA. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. AMUDIPES BEHAVIORAL HEALTH NPI is 1720394687. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 PRESIDENTIAL BLVD
SUITE 244
BALA CYNWYD, PA
ZIP 19004-008
Phone: (215) 858-7685

The provider's authorized official is Ellen Amudipe .
The authorized official title is President and has the following contact phone number (215) 858-7685.

The CLIA number assigned to this NPI record is 39D2106381 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2010 and was last updated on 1/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: