Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Organization
ELWYN OF PENNSYLVANIA AND DELAWARE
Active
Other names
Elwyn's Children's Residential Treatment & Learning Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA K BUSCH (DIR. PAYER CONTRACT & CREDENTIALING)
(445) 206-3028
Entity
Organization
Contact information
Practice address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2516
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2000
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000021240229
—
PA
Enumeration date
06/07/2007
Last updated
02/14/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up