NPIMap

Organization Active NPI

Kencrest Services

  • Public Health or Welfare Agency
  • Blue Bell, PA
National Provider Identifier
1205061397
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
KENCREST SERVICES
Practice address
960A Harvest Dr
Suite 100
Blue Bell, PA 19422-1900
Phone
(610) 825-9360
Fax
(610) 825-4127
NPI assigned
May 19, 2009
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Tonia McNeal
Title
Cfo
Phone
(610) 825-9360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

960A Harvest Dr
Suite 100
Blue Bell, PA 19422-1900

Mailing address

960A Harvest Dr
Suite 100
Blue Bell, PA 19422-1900
Phone (610) 825-9360

Other identifiers 1

IdentifierTypeStateIssuer
251K00000XMedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Kencrest Services13 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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1205061397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960A HARVEST DR",
            "address_2": "SUITE 100",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221900",
            "telephone_number": "610-825-9360",
            "fax_number": "610-825-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960A HARVEST DR",
            "address_2": "SUITE 100",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221900",
            "telephone_number": "610-825-9360",
            "fax_number": "610-825-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENCREST SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-19",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "TONIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-825-9360"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251K00000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.