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Intercommunity Action, Inc.

Intellectual Disabilities Intermediate Care Facility in Philadelphia, PA · enumerated 2007 · authorized official David Bolin, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407075245

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Registry record

Entity type Organization (Type 2)
Legal business name Intercommunity Action, Inc.
Practice address 2405 N 54th St, Philadelphia, PA, 19131
Enumeration date Apr 24, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name David Bolin
Title Executive Director

Other identifiers

Identifier Type State Issuer
1000008360047 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Intercommunity Action, Inc. located?
The practice location on file with NPPES is in Philadelphia, PA.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.