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General NPI Number Information
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NPI Number | 1124901269
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Entity Type | Organization
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Legal Business Name | JOHNSON ADULT CENTER
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 6000 OLD YORK RD
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City | PHILADELPHIA
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State | PA
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Zip | 19141-1905
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Country | US
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Telephone | 267-297-7290
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 OLD YORK RD
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City | PHILADELPHIA
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State | PA
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Zip | 19141-1905
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Country | US
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Telephone | 267-297-7290
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELAINE JOHNSON
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Credential |
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Telephone | 267-249-0929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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