Provider Type Icon

MERAKEY WOODHAVEN NPI 1790908853


NPI Information

NPI: 1790908853
Provider Name: MERAKEY WOODHAVEN

Former Legal Business Name: NHS WOODHAVEN

Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 39D2242282

Address:
2900 SOUTHAMPTON RD
PHILADELPHIA, PA
ZIP 19154
Phone: (215) 836-3131
Get Directions

MERAKEY WOODHAVEN is an intermediate care facility mentally retarded in Philadelphia, PA. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. MERAKEY WOODHAVEN NPI is 1790908853. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Nhs Woodhaven.

The provider's business location address is:

2900 SOUTHAMPTON RD
PHILADELPHIA, PA
ZIP 19154-202
Phone: (215) 836-3131
Fax: (215) 273-5975

The provider's authorized official is Norman E Tilson .
The authorized official title is Corp Sr. Director Of Business Ops and has the following contact phone number (215) 836-3131.

The CLIA number assigned to this NPI record is 39D2242282 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 3/4/2021.


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
1315P00000XIntermediate Care Facility, Mentally RetardedYes

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
11000015750039MEDICAIDPENNSYLVANIA

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.