MEDICARE: BEBASHI TRANSITION TO HOPE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	261QC1500X	Community Health Clinic/Center
3	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487935805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEBASHI TRANSITION TO HOPE

Provider Business Mailing Address
First Line	:	1235 SPRING GARDEN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-3206
Country	:	US
Telephone Number	:	215-769-3561
Fax Number	:

Provider Business Practice Location Address
First Line	:	1235 SPRING GARDEN ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19123-3206
Country	:	US
Telephone Number	:	215-769-3561
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MR. LIBRO JAMES CIARMATORI JR.
Credential	:
Telephone Number	:	215-769-3561

Provider Enumeration Date	:	08/30/2011
Last Update Date	:	11/30/2022

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Directions to “BEBASHI TRANSITION TO HOPE ” Practice Location

Language	Start Address	Practice Location

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