INDIAN CREEK FOUNDATION NPI 1023163854

NPI Information

  • NPI: 1023163854
  • Provider Name: INDIAN CREEK FOUNDATION
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • CLIA Number: 39D0910172
  • Address: 420 COWPATH RD
    SOUDERTON, PA
    ZIP 18964
  • Phone: (267) 203-1500

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NPI Details

INDIAN CREEK FOUNDATION is a community behavioral health in Souderton, PA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. INDIAN CREEK FOUNDATION NPI is 1023163854. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

420 COWPATH RD
SOUDERTON, PA
ZIP 18964-036
Phone: (267) 203-1500
Fax: (267) 203-1510

The provider's authorized official is Dean Stoesz .
The authorized official title is Ceo and has the following contact phone number (267) 203-1500.

The CLIA number assigned to this NPI record is 39D0910172 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 3/26/2025.

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
1163W00000XRegistered NurseNo
2164W00000XLicensed Practical NurseNo
3251S00000XCommunity/Behavioral Health105070PENNSYLVANIAYes
4251S00000XCommunity/Behavioral Health105080PENNSYLVANIANo
5251S00000XCommunity/Behavioral Health188770PENNSYLVANIANo
6251S00000XCommunity/Behavioral Health138590PENNSYLVANIANo
7251S00000XCommunity/Behavioral Health1476426PENNSYLVANIANo
8315P00000XIntermediate Care Facility, Intellectual Disabilities505630PENNSYLVANIANo
9315P00000XIntermediate Care Facility, Intellectual Disabilities505620PENNSYLVANIANo
10315P00000XIntermediate Care Facility, Intellectual Disabilities535030PENNSYLVANIANo
11315P00000XIntermediate Care Facility, Intellectual Disabilities509170PENNSYLVANIANo
12315P00000XIntermediate Care Facility, Intellectual Disabilities509140PENNSYLVANIANo
13315P00000XIntermediate Care Facility, Intellectual Disabilities509120PENNSYLVANIANo
14315P00000XIntermediate Care Facility, Intellectual Disabilities509100PENNSYLVANIANo
15315P00000XIntermediate Care Facility, Intellectual Disabilities535040PENNSYLVANIANo

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
1100000818MEDICAIDPENNSYLVANIA
223122000OTHERPENNSYLVANIAMAGELLAN BEHAVIORAL HEALT

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: 11/21/2025

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