Northeast Community Center For Mh/Mr

LBN: Northeast Community Center For Mh/Mr
Northeast Community Center For Mh/Mr is an health care organization with primary practice located at 4641 Roosevelt Blvd Orleans Building, Philadelphia PA 19124-2343. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Northeast Community Center For Mh/Mr can be contacted via phone (215) 831-2800, or through Kaufman, Howard via phone (215) 831-2800.

Contact Information

Primary practice address
4641 Roosevelt Blvd Orleans Building Philadelphia PA 19124-2343
Phone: (215) 831-2800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kaufman, Howard
Phone: (215) 831-2800

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 127450 Pennsylvania

Profile Details

NPI number 1073882296
LBN Legal business name Northeast Community Center For Mh/Mr
DBA Doing business as
Authorized official Kaufman, Howard
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2011
Last updated Dec 16th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073882296 NPPES
Pennsylvania MEDICAID 1000034170063
Pennsylvania MEDICAID 1000034170072
Pennsylvania MEDICAID 1000034170061

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