Northeast Community Center For Mental Health & Mental Retardation in Philadelphia - Case Management
Northeast Community Center For Mental Health & Mental Retardation - NPI 1457408023
Northeast Community Center For Mental Health & Mental Retardation is a Case Management in Philadelphia, Pennsylvania. Northeast Community Center For Mental Health & Mental Retardation practices all healthcare services and medical treatments related to Case Management. The NPI Number for Northeast Community Center For Mental Health & Mental Retardation is 1457408023. 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 | 1457408023 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| 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 Management |
|---|---|
| Taxonomy | 251B00000X |
| Licence No | ICM780791 |
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Definition: An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000034170026 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification 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) 1457408023 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Northeast Community Center For Mental Health & Mental Retardation located?
The Northeast Community Center For Mental Health & Mental Retardation is located at 4641 Roosevelt Blvd, Philadelphia, PA 191242343.
What is the area of specialization for Northeast Community Center For Mental Health & Mental Retardation, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Northeast Community Center For Mental Health & Mental Retardation is Case Management, and the corresponding taxonomy code that categorizes this area of expertise is 251B00000X.
On what date did the Northeast Community Center For Mental Health & Mental Retardation receive its 1457408023 assignment from the Centers for Medicare & Medicaid Services?
The Northeast Community Center For Mental Health & Mental Retardation was assigned its 1457408023 by the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the information related to Northeast Community Center For Mental Health & Mental Retardation most recently updated or refreshed?
The details pertaining to the Northeast Community Center For Mental Health & Mental Retardation, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.