CARDINAL KROL CENTER NPI 1306979612

NPI Information

NPI: 1306979612
Provider Name: CARDINAL KROL CENTER

Doing Business As: CARDINAL KROL CENTER AT DON GUANELLA VILLAGE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1799 S SPROUL RD
SPRINGFIELD, PA
ZIP 19064
Phone: (610) 543-3380
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CARDINAL KROL CENTER is an intermediate care facility mentally retarded in Springfield, PA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CARDINAL KROL CENTER NPI is 1306979612. The provider is registered as an organization entity type.
The provider Is Doing Business As Cardinal Krol Center At Don Guanella Village.

The provider's business location address is:

1799 S SPROUL RD
SPRINGFIELD, PA
ZIP 19064-137
Phone: (610) 543-3380
Fax: (610) 543-5397

The provider's authorized official is Patti Menszak .
The authorized official title is Administrator and has the following contact phone number (610) 543-3380.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 11/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities			PENNSYLVANIA	No
2	315P00000X	Intermediate Care Facility, Intellectual Disabilities			PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0001029237001	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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