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RE-ENTER INC. NPI 1962553800


NPI Information

NPI: 1962553800
Provider Name: RE-ENTER, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
3331 POWELTON AVE
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 222-2770
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RE-ENTER, INC. is a community behavioral health in Philadelphia, 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. RE-ENTER, INC. NPI is 1962553800. The provider is registered as an organization entity type.

The provider's business location address is:

3331 POWELTON AVE
PHILADELPHIA, PA
ZIP 19104-725
Phone: (215) 222-2770
Fax: (215) 222-3165

The provider's authorized official is Vance Hudson .
The authorized official title is Executive Director and has the following contact phone number (215) 850-9656.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 2/24/2016.


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
1324500000XSubstance Abuse Rehabilitation Facility807245PENNSYLVANIANo
2251S00000XCommunity/Behavioral Health807245PENNSYLVANIAYes

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
181088MEDICARE UPINPENNSYLVANIA

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.