NPIMap

Organization Active NPI

Kensington Hospital Non Hospital Short Term/Long Term Rehab

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1417557174
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
KENSINGTON HOSPITAL NON HOSPITAL SHORT TERM/LONG TERM REHAB
Practice address
136 W. Diamond St
Philadelphia, PA 19122-1721
Phone
(215) 426-8100
Fax
(215) 965-2344
NPI assigned
Oct 30, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
KENSINGTON HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Maria Zukowski
Title
Executive Assistant
Phone
(215) 426-8100

Specialties & licenses 1

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

Addresses

Primary practice location

136 W. Diamond St
Philadelphia, PA 19122-1721

Mailing address

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

National Provider Directory

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

Other organizations with this tax ID 12

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

Locations

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1417557174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W. 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 W. 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 NON HOSPITAL SHORT TERM/LONG TERM REHAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENSINGTON HOSPITAL",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "ZUKOWSKI",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "215-426-8100"
    },
    "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 Oct 30, 2020; 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.