Kirkbride Center
LBN: Corecare Behavioral Health Management, Inc.
Kirkbride Center is an health care organization with primary practice located at 111 N 49Th St , Philadelphia PA 19139-2718. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Corecare Behavioral Health Management, Inc. can be contacted via phone (215) 471-2687, or through Diottavio, Rose via phone (215) 471-2358.
Contact Information
Primary practice address
111 N 49Th St
Philadelphia PA 19139-2718
Phone: (215) 471-2687
Fax: (215) 471-2845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | ||
| Residential Treatment Facilities / Substance Abuse Treatment, Children | 3245S0500X |
Profile Details
| NPI number | 1558520841 |
|---|---|
| LBN Legal business name | Corecare Behavioral Health Management, Inc. |
| DBA Doing business as | Kirkbride Center |
| Authorized official | Diottavio, Rose |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Jan 13th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558520841 | NPPES |
| Pennsylvania | MEDICAID | 1007737600002 |
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