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KENCREST SERVICES NPI 1033244454


NPI Information

NPI: 1033244454
Provider Name: KENCREST SERVICES
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization
Address:
1 WATERMAN AVE
PHILADELPHIA, PA
ZIP 19118
Phone: (610) 825-9360
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KENCREST SERVICES is an intermediate care facility mentally retarded in Philadelphia, PA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. KENCREST SERVICES NPI is 1033244454. The provider is registered as an organization entity type.

The provider's business location address is:

1 WATERMAN AVE
PHILADELPHIA, PA
ZIP 19118-625
Phone: (610) 825-9360
Fax: (610) 825-4127

The provider's authorized official is Tonia Mcneal .
The authorized official title is Cfo and has the following contact phone number (610) 825-9360.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 7/6/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally Retarded517910PENNSYLVANIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.