Northeast Community Center For Mental Health & Mental Retardation in Philadelphia - Case Manager/care Coordinator

Northeast Community Center For Mental Health & Mental Retardation - NPI 1538218961

Northeast Community Center For Mental Health & Mental Retardation is a Case Manager/care Coordinator in Philadelphia, Pennsylvania. Northeast Community Center For Mental Health & Mental Retardation practices all healthcare services and medical treatments related to Case Manager/care Coordinator. The NPI Number for Northeast Community Center For Mental Health & Mental Retardation is 1538218961. The last update date is 2020-08-22.

Northeast Community Center For Mental Health & Mental Retardation's current location address is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158312800 and fax number 2158312929. The mailing address for Northeast Community Center For Mental Health & Mental Retardation is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northeast Community Center For Mental Health & Mental Retardation
Address 4641 Roosevelt Blvd, Philadelphia, Pennsylvania
Phone Number 2158312800
Fax Number 2158312929
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Kaufman J Howard
Telephone Number 2158312800

NPI Number Detail

NPI Number 1538218961
Provider Enumeration Date 2007-01-08
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4641 Roosevelt Blvd
City Philadelphia
State Pennsylvania (PA)
Post Code 191242343
Phone Number 2158312800
Fax Number 2158312929

Provider's Primary Taxonomy Detail

Speciality Case Manager/care Coordinator
Taxonomy 171M00000X
Licence No 188220
Definition:
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a pe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1000034170059 PA --

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FAQs about Northeast Community Center For Mental Health & Mental Retardation

What is the unique 10-digit identifier code issued to Northeast Community Center For Mental Health & Mental Retardation by the Centers for Medicare & Medicaid Services?

The Northeast Community Center For Mental Health & Mental Retardation has been assigned the NPI (National Provider Identifier) 1538218961 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Northeast Community Center For Mental Health & Mental Retardation is geographically located?

The Northeast Community Center For Mental Health & Mental Retardation is physically situated at the following location: 4641 Roosevelt Blvd, Philadelphia, PA, 191242343.

What is Northeast Community Center For Mental Health & Mental Retardation's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Northeast Community Center For Mental Health & Mental Retardation's specialized field of practice is Case Manager/care Coordinator, and the corresponding taxonomy code that categorizes this area of specialization is 171M00000X.

When did Northeast Community Center For Mental Health & Mental Retardation receive its 1538218961 assignment?

The Northeast Community Center For Mental Health & Mental Retardation was assigned its 1538218961 on 2007-01-08, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Northeast Community Center For Mental Health & Mental Retardation last refreshed?

The information related to the Northeast Community Center For Mental Health & Mental Retardation, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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