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KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION NPI 1144378530


NPI Information

NPI: 1144378530
Provider Name: KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 39D2219509

Address:
136 DIAMOND ST
PHILADELPHIA, PA
ZIP 19122
Phone: (215) 426-8100
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KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION is a community behavioral health in Philadelphia, 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. KENSINGTON HOSPITAL INPATIENT NON-HOSPITAL DETOXIFICATION NPI is 1144378530. The provider is registered as an organization entity type.

The provider's business location address is:

136 DIAMOND ST
PHILADELPHIA, PA
ZIP 19122-721
Phone: (215) 426-8100
Fax: (215) 965-2344

The provider's authorized official is Eileen Hause .
The authorized official title is Chief Executive Officer and has the following contact phone number (215) 426-8100.

The CLIA number assigned to this NPI record is 39D2219509 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/8/2007 and was last updated on 2/19/2016.


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
1251S00000XCommunity/Behavioral Health860231PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007717290016MEDICAIDPENNSYLVANIA

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

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