OrganizationActive
Intercommunity Action, Inc.
NPI 1023238128 · Intellectual Disabilities Intermediate Care Facility · Philadelphia, PA
Provider details
- NPI number
- 1023238128
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- David Bolin, Executive Director(215) 487-0906
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3717 Manayunk Ave
Philadelphia, PA 19128-3704
Phone: (215) 487-1598
Street-level locationGet directions
Mailing address
6012 Ridge Ave
Philadelphia, PA 19128-1643
Registry dates
- Enumerated
- 2007-04-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.