WHITE DEER RUN LLC NPI 1649391319

NPI Information

  • NPI: 1649391319
  • Provider Name: WHITE DEER RUN, LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: WHITE DEER RUN AT BLUE MOUNTAIN
  • Address: 8284 LEASER ROAD
    KEMPTON, PA
    ZIP 19529
  • Phone: (610) 756-4023

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NPI Details

WHITE DEER RUN, LLC is a community behavioral health in Kempton, 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. WHITE DEER RUN, LLC NPI is 1649391319. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As White Deer Run At Blue Mountain.

The provider's business location address is:

8284 LEASER ROAD
KEMPTON, PA
ZIP 19529
Phone: (610) 756-4023

The provider's authorized official is Christopher Howard .
The authorized official title is Vice President And Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 11/3/2022.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)397052PENNSYLVANIANo
2251S00000XCommunity/Behavioral HealthSS1960505PENNSYLVANIAYes

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
11007567870068MEDICAIDPENNSYLVANIA

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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