Organization 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
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.