Provider Demographics
NPI:1285051516
Name:FOX CHASE ADULT DAY CARE INC.
Entity type:Organization
Organization Name:FOX CHASE ADULT DAY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VIKTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMENOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-945-5479
Mailing Address - Street 1:1001 VINE ST FL 5
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-1321
Mailing Address - Country:US
Mailing Address - Phone:267-945-5479
Mailing Address - Fax:
Practice Address - Street 1:1001 VINE ST FL 5
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-1321
Practice Address - Country:US
Practice Address - Phone:267-945-5479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA315274253J00000X, 261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No253J00000XAgenciesFoster Care Agency