Provider Demographics
NPI:1013953413
Name:PHILADELPHIA AVENUE ASSOCIATES
Entity Type:Organization
Organization Name:PHILADELPHIA AVENUE ASSOCIATES
Other - Org Name:MIFFLIN CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4231
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:500 PHILADELPHIA AVE
Practice Address - Street 2:
Practice Address - City:SHILLINGTON
Practice Address - State:PA
Practice Address - Zip Code:19607-2764
Practice Address - Country:US
Practice Address - Phone:610-777-7841
Practice Address - Fax:610-775-7198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA081002314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
110290OtherAETNA-HMO
317135OtherUS FAMILY HEALTH PLAN
0006188000OtherIBC
41692OtherHEALTH AMERICA
0006188000OtherAMERIHEALTH
39-5138OtherCAPITAL BC
PA0009931990001Medicaid
43321OtherGEISINGER HEALTH PLANS
IY0233OtherHEALTHNET OF PA
41692OtherHEALTH AMERICA
=========OtherCIGNA-NJ
39-5138OtherCAPITAL BC
IY0233OtherHEALTHNET OF PA
43321OtherGEISINGER HEALTH PLANS