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DEVEREUX KANNER NPI 1548384225


NPI Information

NPI: 1548384225
Provider Name: DEVEREUX KANNER

Other Name: KANNER ANN VILLA

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
390 E BOOT RD
WEST CHESTER, PA
ZIP 19380
Phone: (610) 431-8100
Get Directions

DEVEREUX KANNER is a community based residential treatment facility mental illness in West Chester, PA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. DEVEREUX KANNER NPI is 1548384225. The provider is registered as an organization entity type.
The provider Other Name Is Kanner Ann Villa.

The provider's business location address is:

390 E BOOT RD
WEST CHESTER, PA
ZIP 19380-222
Phone: (610) 431-8100
Fax: (610) 431-3155

The provider's authorized official is Fran Wagner .
The authorized official title is National Director, Ar and has the following contact phone number (610) 542-3084.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.


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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness112070PENNSYLVANIAYes

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
10010502MEDICAIDNEW JERSEY

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.