KENSINGTON HOSPITAL SUBSTANCE ABUSE SERVICES (NPI# 1881940468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881940468 |
| Entity Type | Organization |
| Organization Name | KENSINGTON HOSPITAL SUBSTANCE ABUSE SERVICES |
| Other Organization Name | KENSINGTON HOSPITAL |
| Practice Address |
136 Diamond St Philadelphia PA 19122-1721 |
| Practice Telephone | 2154268100 |
| Practice Fax Number | 2159652344 |
| Mailing Telephone | 2154268100 |
| Mailing Fax Number | 2159652344 |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |
| Authorized Official Name | MS. EILEEN HAUSE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2154268100 |
| Authorized Official Credential | M.B.A. |
| Is Organization Subpart | Y |
| Parent Organization Name | KENSINGTON HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 111101 | PA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kensington Hospital | Former Legal Business Name - Organization |
| Street Address |
136 DIAMOND ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19122-1721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114953619 | Kensington Hospital | General Acute Care Hospital | 136 Diamond St, Philadelphia, PA 19122-1721 | 2006-06-25 |
| 1124578166 | Katheryn Kucharski | Social Worker | 136 Diamond St, Philadelphia, PA 19122-1721 | 2016-10-13 |
| 1902152689 | Kensington Hospital-case Management Services | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2012-07-31 |
| 1033400841 | Myryan A. Lizama | Counselor | 136 Diamond St, Philadelphia, PA 19122-1721 | 2011-04-27 |
| 1508020967 | Kensington Hospital- Family Planning Clinic | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2008-07-15 |
| 1336302017 | Kensington Hospital- Intensive Outpatient Program | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2008-07-03 |
| 1225209992 | Chaudhry & Associates, Inc. | Dentist | 136 Diamond St, Dental Clinic, Philadelphia, PA 19122-1721 | 2008-03-20 |
| 1538376538 | Richard Clinton Vause Jr. | Physician Assistant | 136 Diamond St, Kensington Hospital, Philadelphia, PA 19122-1721 | 2007-05-17 |
| 1962543843 | Kensington Hospital- Congreso Clinic | Clinic/Center | 136 Diamond St, Philadelphia, PA 19122-1721 | 2007-02-12 |
| 1285783852 | Kensington Hospital | Clinical Medical Laboratory | 136 Diamond St, Philadelphia, PA 19122-1721 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719919 | Penn Diagnostic Co. | Clinic/Center | 2014 North 3rd St, Philadelphia, PA 19122 | 2020-10-29 |
| 1821639873 | Marshannie's Home Care, LLC | Home Health | 2143 N Front Street, Philadelphia, PA 19122 | 2019-10-01 |
| 1023679289 | 99 Adult Daycare II Inc | Home Health | 1533-39 N 7th St, Philadelphia, PA 19122 | 2019-06-27 |
| 1891232716 | Alexis Bender | Specialist/Technologist | 1801 Broad Street, Philadelphia, PA 19122 | 2017-01-30 |
| 1770933392 | Frederick Charles Bader | Psychologist | 1231 North Broad Street, 5th Floor, Philadelphia, PA 19122 | 2016-06-14 |
| 1316307192 | Vibrant Rehabilitation LLC | Occupational Therapy Assistant | 1533 - 39 N 7th St, 1/fl, Philadelphia, PA 19122 | 2016-03-07 |
| 1104285519 | Yi Liu | Occupational Therapy Assistant | 1537 North 7th Street, 2/fl, Philadelphia, PA 19122 | 2016-02-12 |
| 1558754580 | Icare Home Health LLC | Home Health | 1706 N. 2nd Street, R2, Philadelphia, PA 19122 | 2015-03-16 |
| 1912313347 | Eve Peters | Pharmacist | 2131 North Broad Street, Philadelphia, PA 19122 | 2014-07-07 |
| 1356618003 | Mohamed Alaoui Mdaghri | Dentist | 2017 N 2nd St, Philadelphia, PA 19122 | 2011-11-23 |
| Find all providers in zip 19122 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1023620135 | Neshoba County General Hospital-nursing Home | Clinic/Center | 406 Stribling St, Philadelphia, MS 39350-3344 | 2020-08-19 |
| 1043775711 | New Vitae, Inc. | Clinic/Center | 27 S. 55th Street, Philadelphia, PA 19139-3247 | 2019-02-06 |
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1699288142 | Rogers Memorial Hospital Inc | Clinic/Center | 1 Winding Dr Ste 106, Philadelphia, PA 19131-2907 | 2017-11-07 |
| 1952753238 | American Rehabilitation Counseling Center LLC | Clinic/Center | 8305-15 Ridge Ave, Philadelphia, PA 19128-1722 | 2016-07-11 |
| 1750736088 | Mark Wilson | Clinic/Center | 5313 Ogden St, Philadelphia, PA 19139-1438 | 2016-04-23 |
| 1023485265 | Greater Philadelphia Health Action Inc. | Clinic/Center | 1408 S. Broad St., 2nd Floor, Philadelphia, PA 19146-4808 | 2015-08-24 |
| 1407233125 | Rediclinic of Pa, LLC | Clinic/Center | 7418-32 Oxford Avenue, Philadelphia, PA 19111-3023 | 2015-05-01 |
| 1912397118 | Physical Corrective Solutions, LLC | Clinic/Center | 2644 Lefevre St Ste A, Suite A, Philadelphia, PA 19137-1733 | 2015-01-27 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19122 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.