NPIMap

Organization Active NPI

Covenant House Inc.

  • Pediatrics Physician
  • Philadelphia, PA
National Provider Identifier
1699506576
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COVENANT HOUSE INC.
Doing business as
CHI KIDZ
Practice address
301 E Chelten Ave FL 3
Philadelphia, PA 19144-6701
Phone
(215) 844-1020
Fax
(215) 844-2702
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Carolyn Richardson
Title
Director, Reimbursement
Phone
(215) 844-1020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

301 E Chelten Ave FL 3
Philadelphia, PA 19144-6701

Mailing address

251 E Bringhurst St
Philadelphia, PA 19144-1799
Phone (215) 844-1020

Other names 1

  • CHI KIDZ Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Covenant House HLTH SVC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

301 E Chelten Ave
Fl 3
Philadelphia, PA 19144
Phone (215) 844-1020

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1699506576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E BRINGHURST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441799",
            "telephone_number": "215-844-1020",
            "fax_number": "215-844-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E CHELTEN AVE FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191446701",
            "telephone_number": "215-844-1020",
            "fax_number": "215-844-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DIRECTOR, REIMBURSEMENT",
        "authorized_official_telephone_number": "215-844-1020"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI KIDZ",
            "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 Aug 12, 2024; 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.