Active NPI
Kakua Health and Human Services PA Incoporation Inc.
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Philadelphia, PA
National Provider Identifier
1699613919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- KAKUA HEALTH AND HUMAN SERVICES PA INCOPORATION INC.
- Practice address
- 119 N 58TH St
Philadelphia, PA 19139-2414 - Phone
- (302) 590-8740
- NPI assigned
- Mar 25, 2026
- Last updated
- Apr 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Peter Bokon Mammy, RN-BSN
- Title
- President/ Ceo
- Phone
- (302) 590-8740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary |
Addresses
Primary practice location
119 N 58TH St
Philadelphia, PA 19139-2414
Mailing address
119 N 58TH St
Philadelphia, PA 19139-2414
Phone (302) 590-8740
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775433600000",
"number": "1699613919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 N 58TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191392414",
"telephone_number": "302-590-8740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 N 58TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191392414",
"telephone_number": "302-590-8740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAKUA HEALTH AND HUMAN SERVICES PA INCOPORATION INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-25",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A",
"authorized_official_last_name": "MAMMY",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "BOKON",
"authorized_official_title_or_position": "PRESIDENT/ CEO",
"authorized_official_telephone_number": "302-590-8740",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN-BSN"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"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 Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.