Provider Demographics
NPI:1922135219
Name:SPECIAL PEOPLE IN NORTHEAST, INC.
Entity Type:Organization
Organization Name:SPECIAL PEOPLE IN NORTHEAST, INC.
Other - Org Name:SPIN, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:CIO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:T
Authorized Official - Last Name:GREENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-612-7514
Mailing Address - Street 1:10521 DRUMMOND RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19154-3807
Mailing Address - Country:US
Mailing Address - Phone:215-613-1000
Mailing Address - Fax:
Practice Address - Street 1:10521 DRUMMOND RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19154-3807
Practice Address - Country:US
Practice Address - Phone:215-613-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA100001350251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100001350Medicaid
PA389OtherBUREAU OF CHARITABLE ORG