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Provider Demographic Information - COMMONWEALTH SUPPORTIVE SERVICES LLC

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PROVIDER DEMOGRAPHIC INFORMATION Supporting line for group header


Name:	COMMONWEALTH SUPPORTIVE SERVICES LLC
Address:	829 MACDADE BLVD DARBY, PA 19023-3733
Web Site:	www.commonwealthsupportiveservices.com

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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:	Philadelphia
Name:	Commonwealth Supportive Services
Address:	1132 GLEN AVON RD DARBY, PA 19023-1414
Phone:	(267) 207-1941

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PROVIDER SERVICES AND RATES Supporting line for group header


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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Companion Services (Level 2)	$7.71 / 15 min.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.
Res Hab-1 Person-NG 1-Elig	$523.00 / 1 Day
Res Hab-1 Person-NG 2-Elig	$606.92 / 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 2-Elig	$606.92 / 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 3-Elig	$514.20 / 1 Day
Res Hab-3 Person-NG 3-Elig-w/Day Supports	$440.90 / 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
Respite-Unlic-Day (Level 3, 1:1) Out-of-Home	$317.80 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supplemental Habilitation 1:1 - 15 min - ECS	Not Set
Supplemental Habilitation 2:1 - 15 min	$11.53 / 15 min.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.

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

Chore, Permanent - 1 Hour	$22.73 / 1 hr.
Chore, Temporary - 1 Hour	$22.73 / 1 hr.
Homemaker, Permanent - 1 Hour	$22.73 / 1 hr.
Homemaker, Temporary - 1 Hour	$22.73 / 1 hr.
In-Home & Commnty Supprts (Lvl 2)	$10.28 / 15 min.
Nursing - (1:1) LPN-15 minutes	$13.77 / 15 min.
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 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 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	$50.47 - $54.05 / 1 Day
Res Hab-Lic-3 Person-Inelig	$38.74 / 1 Day
Respite-Unlic-15-min(Level 3, 1:1)In-Home	$7.95 / 15 min.
Respite-Unlic-Day (Level 2, 1:2) In-Home	$176.17 / 1 Day
Respite-Unlic-Day (Level 3, 1:1) In-Home	$317.80 / 1 Day
Supplemental Habilitation 1:1 - 15 min	$5.77 / 15 min.
Supported Emplymnt-Career Assessment	$17.91 / 15 min.
Supported Emplymnt-Job Finding/Job Development	$17.91 / 15 min.

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