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Provider Demographic Information - JEVS HUMAN SERVICES

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	JEVS HUMAN SERVICES
Address:	1845 WALNUT ST FL 7 PHILADELPHIA, PA 19103-4713
Phone:	(215) 278-4435
Fax:	(267) 298-1301
E-mail:	paulet.lungu@jevs.org
Web Site:	WWW.JEVS.ORG

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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:	Chester, Delaware, Montgomery, Philadelphia
Name:	JEVS: COMMUNITY LIVING AND HOME SUPPORTS
Address:	3005 W SCHOOL HOUSE LN PHILADELPHIA, PA 19144-5498
Phone:	(215) 848-7855
Fax:	(215) 848-7904

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PROVIDER SERVICES AND RATES Supporting line for group header


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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Armstrong/Indiana
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Bedford/Somerset
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Bradford/Sullivan
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Companion Services (Level 2)	$7.71 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day
Life Sharing-1 person-Elig-NG 1 > 30 Hrs	$171.35 / 1 Day
Life Sharing-1 person-Elig-NG 2 > 30 Hrs	$204.29 / 1 Day
Life Sharing-1 person-Elig-NG 3 > 30 Hrs	$279.58 / 1 Day
Life Sharing-1 person-Elig-NG 4 > 30 Hrs	$355.61 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-1 Person-Inelig	$99.10 / 1 Day
Res Hab-Lic-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Cameron/Elk
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Carbon/Monroe/Pike
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$105.13 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Companion Services (Level 2)	$7.71 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Clearfield/Jefferson
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Columbia/Montour/Snyder/Union
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Cumberland/Perry
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Companion Services (Level 2)	$7.71 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day
Life Sharing-2 person-Elig-NG 1 > 30 Hrs	$120.79 / 1 Day
Life Sharing-2 person-Elig-NG 2 > 30 Hrs	$144.84 / 1 Day
Life Sharing-2 person-Elig-NG 3 > 30 Hrs	$197.06 / 1 Day
Life Sharing-2 person-Elig-NG 4 > 30 Hrs	$237.16 / 1 Day
Needs Exception Allowance (NEA)-Adult Res (6400)	$957.96 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$1,254.47 / 1 Day
Res Hab-Lic-1 Person-Inelig	$99.10 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$132.49 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$26.69 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Forest/Warren
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Franklin/Fulton
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Huntingdon/Mifflin/Juniata
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Lackawanna/Susquehanna
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Luzerne/Wyoming
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : Lycoming/Clinton
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

CPS Community 1:1	$12.81 / 15 min.
CPS Community 1:2 or 1:3	$6.98 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-1 Person-Inelig	$99.10 / 1 Day
Res Hab-Lic-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 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-NG2	$253.26 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

CPS Community 1:1	$12.81 / 15 min.
CPS Community 1:2 or 1:3	$6.98 / 15 min.
Companion Services (Level 1)	$4.42 / 15 min.
Companion Services (Level 2)	$7.71 / 15 min.
In-Home & Commnty Supprts (Basic)	$4.09 / 15 min.
In-Home & Commnty Supprts (Lvl 1)	$5.76 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
In-Home & Commnty Supprts (Lvl 3)	$19.83 / 15 min.
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day
Life Sharing-1 per-Elig-Unlic by Relative < 30Hrs	$147.63 / 1 Day
Life Sharing-1 person-Elig-NG 1 > 30 Hrs	$171.35 / 1 Day
Life Sharing-1 person-Elig-NG 2 > 30 Hrs	$204.29 / 1 Day
Life Sharing-1 person-Elig-NG 3 > 30 Hrs	$279.58 / 1 Day
Life Sharing-1 person-Elig-NG 4 > 30 Hrs	$355.61 / 1 Day
Life Sharing-2 per-Elig-Unlic < 30 Hrs	$105.13 / 1 Day
Life Sharing-2 per-Elig-Unlic-by Relative < 30 Hrs	$105.13 / 1 Day
Life Sharing-2 person-Elig-NG 1 > 30 Hrs	$120.79 / 1 Day
Life Sharing-2 person-Elig-NG 1-ByRelative> 30 Hrs	$120.79 / 1 Day
Life Sharing-2 person-Elig-NG 2 > 30 Hrs	$144.84 / 1 Day
Life Sharing-2 person-Elig-NG 2-By Relative>30 Hrs	$144.84 / 1 Day
Life Sharing-2 person-Elig-NG 3 > 30 Hrs	$197.06 / 1 Day
Life Sharing-2 person-Elig-NG 3-By Relative>30 Hrs	$197.06 / 1 Day
Life Sharing-2 person-Elig-NG 4 > 30 Hrs	$237.16 / 1 Day
Life Sharing-2 person-Elig-NG 4-by Relative>30 Hrs	$237.16 / 1 Day
Needs Exception Allowance (NEA)-Adult Res (6400)	$0.01 - $551.67 / 1 Day
Needs Excptn Allowance (NEA)-Adult Res (6400)-521	$0.01 - $692.38 / 1 Day
Res Hab-1 Person-NG 1-Elig	$523.00 / 1 Day
Res Hab-1 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-1 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-1 Person-NG 3-Elig	$924.89 / 1 Day
Res Hab-1 Person-NG 3-Elig-w/Day Supports	$746.22 / 1 Day
Res Hab-1 Person-NG 4-Elig	$1,118.74 / 1 Day
Res Hab-1 Person-NG 4-Elig-w/Day Supports	$822.23 / 1 Day
Res Hab-2 Person-NG 1-Elig	$523.00 / 1 Day
Res Hab-2 Person-NG 1-Elig-w/Day Supports	$408.54 / 1 Day
Res Hab-2 Person-NG 2-Elig	$606.92 / 1 Day
Res Hab-2 Person-NG 2-Elig-w/Day Supports	$515.01 / 1 Day
Res Hab-2 Person-NG 3-Elig	$685.68 / 1 Day
Res Hab-2 Person-NG 3-Elig-w/Day Supports	$630.70 / 1 Day
Res Hab-2 Person-NG 4-Elig	$820.15 / 1 Day
Res Hab-2 Person-NG 4-Elig-w/Day Supports	$689.49 / 1 Day
Res Hab-3 Person-NG 1-Elig	$387.76 / 1 Day
Res Hab-3 Person-NG 1-Elig-w/Day Supports	$294.49 / 1 Day
Res Hab-3 Person-NG 2-Elig	$441.87 / 1 Day
Res Hab-3 Person-NG 2-Elig-w/Day Supports	$341.21 / 1 Day
Res Hab-3 Person-NG 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 1 Day
Res Hab-3 Person-NG 4-Elig	$624.74 / 1 Day
Res Hab-3 Person-NG 4-Elig-w/Day Supports	$484.03 / 1 Day
Res Hab-Lic-1 Person-Inelig	$99.10 / 1 Day
Res Hab-Lic-2 Person-Inelig	$54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Eligible)	$132.49 / 1 Day
Resid Hab-Unlic 1-Indiv Home (Inelig)	$26.69 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible)	$83.20 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TD	$83.20 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Eligible) - TE	$83.20 / 1 Day
Resid Hab-Unlic 2-Indiv Home (Inelig)	$15.45 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.
Supported Emplymnt-Career Assessment	$17.91 / 15 min.
Supported Emplymnt-Job Finding/Job Development	$17.91 / 15 min.
Supported Emplymnt-Job Support - 1:1	$17.91 / 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 : Potter
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Companion Services (Level 2)	$7.71 / 15 min.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

County : York/Adams
\|Service Name / Level	\|Rate

Life Sharing-1 per-Elig-Unlic < 30 Hrs	$147.63 / 1 Day

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