Organization Active NPI

Naitre Corporation

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1508458571
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NAITRE CORPORATION
Doing business as
NaiTre
Practice address
1753 S Ringgold St
Philadelphia, PA 19145-1808
Phone
(267) 879-1616
NPI assigned
Feb 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Ms. Demetre Pough
Title
Ceo
Phone
(267) 879-1616

Specialties & licenses 1

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

Addresses

Primary practice location

1753 S Ringgold St
Philadelphia, PA 19145-1808

Mailing address

6817 Oakley St
Philadelphia, PA 19111-3914
Phone (267) 879-1616

Other practice location 1

1755 S Ringgold Street
Philadelphia, PA 19145-1914
Phone (267) 879-1616

Other names 1

  • NaiTre Doing business as

National Provider Directory

National Provider Directory

Locations

1753 S Ringgold St
Philadelphia, PA 19145
Phone (267) 879-1616

NPI Registry JSON

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1508458571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6817 OAKLEY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113914",
            "telephone_number": "267-879-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 S RINGGOLD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191451808",
            "telephone_number": "267-879-1616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 S Ringgold Street",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191451914",
            "country_code": "US",
            "telephone_number": "267-879-1616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAITRE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "POUGH",
        "authorized_official_first_name": "DEMETRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-879-1616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NaiTre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 10, 2021; 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.