NPIMap

Organization Active NPI

Kensington Hospital

  • General Acute Care Hospital
  • Philadelphia, PA
National Provider Identifier
1114953619
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
111101 Issued in PA
Legal business name
KENSINGTON HOSPITAL
Practice address
136 Diamond St
Philadelphia, PA 19122-1721
Phone
(215) 426-8100
Fax
(215) 965-2344
NPI assigned
Jun 25, 2006
Last updated
May 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Eileen Hause, M.B.A.
Title
Chief Executive Officer
Phone
(215) 426-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 111101 PA Primary

Addresses

Primary practice location

136 Diamond St
Philadelphia, PA 19122-1721

Mailing address

136 Diamond St
Philadelphia, PA 19122-1721
Phone (215) 426-8100

Other identifiers 1

IdentifierTypeStateIssuer
1007717290007MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081010000301 PA Part A Provider - Hospital 6305831165 2 other NPIs on this enrollment
Practice locations: Philadelphia, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114953619. Details of each certification follow.

Hospital certification: CCN 390025

Legal name
KENSINGTON HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 9, 2017
Beds
31
Ownership / control type
Other
Organization structure
CorporationNon-profit
Enrollment address
136 Diamond St
Philadelphia, PA 19122-1721
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Kensington HospitalCCN 390025 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Kensington Hospital- Congreso Clinic13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Coleman Individual Operational/Managerial ControlBoard Member Jul 1, 2023 16.6%
Colleen Schaller Individual Operational/Managerial ControlBoard Member Jul 1, 2023 16.6%
Catherine Kutzler Individual Operational/Managerial ControlBoard Member Jul 1, 2023 16.6%
Kensington Hospital Organization, Philadelphia, PA Corporation, Non-profit Operational/Managerial Control Jul 1, 1966 100%
Tinesha Banks Individual Operational/Managerial ControlBoard Member Jul 1, 2023 16.6%
Monika Vansant Individual Contracted Managing EmployeeMD; Jun 30, 2022 16.6%
Eileen Hause Individual W-2 Managing EmployeeInterim Chief Executive Officer Aug 11, 2025 100%

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1114953619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 DIAMOND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191221721",
            "telephone_number": "215-426-8100",
            "fax_number": "215-965-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 DIAMOND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191221721",
            "telephone_number": "215-426-8100",
            "fax_number": "215-965-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENSINGTON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "HAUSE",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "215-426-8100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.B.A."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "111101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007717290007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.