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Provider Demographic Information - JUDITH CREED HORIZONS FOR ACHIEVING INDEPENDENCE

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	JUDITH CREED HORIZONS FOR ACHIEVING INDEPENDENCE
Address:	274 S BRYN MAWR AVE BRYN MAWR, PA 19010-2105
Phone:	(610) 922-2480
Fax:	(610) 520-4705
E-mail:	JANICECOOPER@JCHAI.ORG
Web Site:	N/A

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PROVIDER CERTIFICATION INFORMATION Supporting line for group header

Click here to view Provider Certification Information

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PROVIDER'S PARENT/ REGIONAL OFFICE Supporting line for group header


Type:	Regional/Field Office	Counties Served:	Delaware, Montgomery, Philadelphia
Name:	Judith Creed Horizons for Achieving Independence
Address:	274 S BRYN MAWR AVE BRYN MAWR, PA 19010-2105
Phone:	(610) 922-2480
Fax:	(610) 527-4705

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PROVIDER SERVICES AND RATES Supporting line for group header


County : Bucks
\|Service Name / Level	\|Rate

In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
Resid Hab-Unlic 1-Indiv Home (Eligible)	$132.49 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$26.69 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supported Living-1 Person-NG1	$151.12 / 1 Day
Supported Living-1 Person-NG2	$253.26 / 1 Day
Supported Living-1 Person-NG3	$404.38 / 1 Day
Supported Living-1 Person-NG4	$543.72 / 1 Day
Supported Living-2 Person-NG1	$105.79 / 1 Day
Supported Living-2 Person-NG2	$202.61 / 1 Day
Supported Living-2 Person-NG3	$338.62 / 1 Day
Supported Living-2 Person-NG4	$543.72 / 1 Day

County : Chester
\|Service Name / Level	\|Rate

In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
Resid Hab-Unlic 1-Indiv Home (Eligible)	$132.49 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$26.69 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supported Living-1 Person-NG1	$151.12 / 1 Day
Supported Living-1 Person-NG2	$253.26 / 1 Day
Supported Living-1 Person-NG3	$404.38 / 1 Day
Supported Living-1 Person-NG4	$543.72 / 1 Day
Supported Living-2 Person-NG1	$105.79 / 1 Day
Supported Living-2 Person-NG2	$202.61 / 1 Day
Supported Living-2 Person-NG3	$338.62 / 1 Day
Supported Living-2 Person-NG4	$543.72 / 1 Day

County : Delaware
\|Service Name / Level	\|Rate

In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
Resid Hab-Unlic 1-Indiv Home (Eligible)	$132.49 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$26.69 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supported Living-1 Person-NG1	$151.12 / 1 Day
Supported Living-1 Person-NG2	$253.26 / 1 Day
Supported Living-1 Person-NG3	$404.38 / 1 Day
Supported Living-1 Person-NG4	$543.72 / 1 Day
Supported Living-2 Person-NG1	$105.79 / 1 Day
Supported Living-2 Person-NG2	$202.61 / 1 Day
Supported Living-2 Person-NG3	$338.62 / 1 Day
Supported Living-2 Person-NG4	$543.72 / 1 Day

County : Montgomery
\|Service Name / Level	\|Rate

In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
Res Hab-5-8 Person-NG 1-Elig	$267.15 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports	$212.03 / 1 Day
Res Hab-5-8 Person-NG 2-Elig	$311.99 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports	$250.71 / 1 Day
Res Hab-5-8 Person-NG 3-Elig	$360.24 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports	$314.42 / 1 Day
Res Hab-5-8 Person-NG 4-Elig	$429.04 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports	$338.58 / 1 Day
Res Hab-Lic-5-8 Person-Inelig	$21.58 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$132.49 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$26.69 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supported Living-1 Person-NG1	$151.12 / 1 Day
Supported Living-1 Person-NG2	$253.26 / 1 Day
Supported Living-1 Person-NG3	$404.38 / 1 Day
Supported Living-1 Person-NG4	$543.72 / 1 Day
Supported Living-2 Person-NG1	$105.79 / 1 Day
Supported Living-2 Person-NG2	$202.61 / 1 Day
Supported Living-2 Person-NG3	$338.62 / 1 Day
Supported Living-2 Person-NG4	$543.72 / 1 Day

County : Philadelphia
\|Service Name / Level	\|Rate

In-Home & Commnty Supprts (Lvl 2 Enh)	$14.18 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 3 Enh)	$23.74 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
Res Hab-5-8 Person-NG 1-Elig	$267.15 / 1 Day
Res Hab-5-8 Person-NG 1-Elig-w/Day Supports	$212.03 / 1 Day
Res Hab-5-8 Person-NG 2-Elig	$311.99 / 1 Day
Res Hab-5-8 Person-NG 2-Elig-w/Day Supports	$250.71 / 1 Day
Res Hab-5-8 Person-NG 3-Elig	$360.24 / 1 Day
Res Hab-5-8 Person-NG 3-Elig-w/Day Supports	$314.42 / 1 Day
Res Hab-5-8 Person-NG 4-Elig	$429.04 / 1 Day
Res Hab-5-8 Person-NG 4-Elig-w/Day Supports	$338.58 / 1 Day
Res Hab-Lic-5-8 Person-Inelig	$21.58 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$132.49 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$26.69 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supported Living-1 Person-NG1	$151.12 / 1 Day
Supported Living-1 Person-NG2	$253.26 / 1 Day
Supported Living-1 Person-NG3	$404.38 / 1 Day
Supported Living-1 Person-NG4	$543.72 / 1 Day
Supported Living-2 Person-NG1	$105.79 / 1 Day
Supported Living-2 Person-NG2	$202.61 / 1 Day
Supported Living-2 Person-NG3	$338.62 / 1 Day
Supported Living-2 Person-NG4	$543.72 / 1 Day

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