BANYAN PHILADELPHIA LLC NPI 1780101691

NPI Information

NPI: 1780101691
Provider Name: BANYAN PHILADELPHIA, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
:
CLIA Number: 39D2148917
Address: 100 N BUCKSTOWN RD STE 100
LANGHORNE, PA
ZIP 19047
Phone: (215) 249-6226

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NPI Details

BANYAN PHILADELPHIA, LLC is a substance abuse rehabilitation facility in Langhorne, PA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. BANYAN PHILADELPHIA, LLC NPI is 1780101691. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

100 N BUCKSTOWN RD STE 100
LANGHORNE, PA
ZIP 19047-875
Phone: (215) 249-6226
Fax: (267) 512-6053

The provider's authorized official is John Sory .
The authorized official title is Ceo and has the following contact phone number (954) 533-7705.

The CLIA number assigned to this NPI record is 39D2148917 - other - substance trtmt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2017 and was last updated on 8/12/2025.

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	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
4	324500000X	Substance Abuse Rehabilitation Facility		Yes

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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