NPIMap

Organization Active NPI

Interim House Inc

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1184765786
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INTERIM HOUSE INC
Practice address
333 W Upsal St
Philadelphia, PA 19119-4010
Phone
(215) 731-2042
Fax
(267) 765-2380
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Shante Pennington
Title
Billing Coordinator
Phone
(215) 731-2042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

333 W Upsal St
Philadelphia, PA 19119-4010

Mailing address

333 W Upsal St
Philadelphia, PA 19119-4010
Phone (215) 731-2042

National Provider Directory

National Provider Directory
Tax ID family
Interim House Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1184765786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191194010",
            "telephone_number": "215-731-2042",
            "fax_number": "267-765-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W UPSAL ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191194010",
            "telephone_number": "215-731-2042",
            "fax_number": "267-765-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERIM HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "SHANTE",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "215-731-2042"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.