Active NPI
Kidspeace National Centers Inc
- Nursing Care Agency
- Orefield, PA
National Provider Identifier
1174749063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 217790
- Legal business name
- KIDSPEACE NATIONAL CENTERS INC
- Practice address
- 5300 Kidspeace Drive
Orefield, PA 18069 - Phone
- (800) 854-3123
- Fax
- (610) 799-8318
- NPI assigned
- Apr 18, 2007
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael W Slack
- Title
- VP for Marketing and Business Devel
- Phone
- (610) 799-8405
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 217790 | PA | Primary |
| Assisted Living Facility (Mental Illness) | 3104A0625X | 217790 | PA |
Addresses
Primary practice location
5300 Kidspeace Drive
Orefield, PA 18069
Mailing address
4085 Independence Drive
Schnecksville, PA 18078
Phone (610) 799-8543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007632900048 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Kidspeace National Centers of Pennsylvania Inc
Other organizations with this tax ID 46
Organizations that report the same tax identification number in the National Provider Directory.
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- NPI 1770628174
-
dba KidsPeace National Centers, Inc.
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- NPI 1013039916
-
- Foster Care Agency
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-
- Psychiatric Residential Treatment Facility
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- Nursing Care Agency
- Honesdale, PA
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- Foster Care Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1174749063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4085 INDEPENDENCE DRIVE",
"city": "SCHNECKSVILLE",
"state": "PA",
"postal_code": "18078",
"telephone_number": "610-799-8543",
"fax_number": "610-799-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 KIDSPEACE DRIVE",
"city": "OREFIELD",
"state": "PA",
"postal_code": "18069",
"telephone_number": "800-854-3123",
"fax_number": "610-799-8318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDSPEACE NATIONAL CENTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SLACK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "VP FOR MARKETING AND BUSINESS DEVEL",
"authorized_official_telephone_number": "610-799-8405",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "PA",
"license": "217790",
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "PA",
"license": "217790",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007632900048",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orefield, PA
- Leah Christine Kester, BSW
- Kidspeace Children's Hospital, Inc.
- Kidspeace National Center, Inc
- Kidspeace National Centers for Kids in Crisis, Inc. (KidsPeace National Centers, Inc.)
- Kidspeace National Centers Inc
- Kidspeace National Centers Inc
- Kidspeace National Centers Inc
- Kidspeace National Centers Inc
- Kidspeace National Centers Inc
- Kidspeace National Centers Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.