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AVENUES OF HOPE- CHAPTER 3800 NPI 1184131096


NPI Information

NPI: 1184131096
Provider Name: AVENUES OF HOPE- CHAPTER 3800

Doing Business As: AVENUES OF HOPE- CHAPTER 3800

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4949 LIBERTY LN STE 350
ALLENTOWN, PA
ZIP 18106
Phone: (484) 560-6600
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AVENUES OF HOPE- CHAPTER 3800 is a community based residential treatment facility, intellectual and/or developmental disabilities in Allentown, PA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. AVENUES OF HOPE- CHAPTER 3800 NPI is 1184131096. The provider is registered as an organization entity type.
The provider Is Doing Business As Avenues Of Hope- Chapter 3800.

The provider's business location address is:

4949 LIBERTY LN STE 350
ALLENTOWN, PA
ZIP 18106-018
Phone: (484) 560-6600

The provider's authorized official is Nelly Kabiru .
The authorized official title is Ceo and has the following contact phone number (484) 560-6600.

The enumeration date for this NPI number is 1/2/2018 and was last updated on 6/11/2019.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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
1103226381MEDICAIDPENNSYLVANIA

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: 4/28/2024

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