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Contact Information

CORECARE BEHAVIORAL HEALTH
111 N 49TH ST
PHILADELPHIA, PA19139-2718
 Phone: 215-471-2488
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Unit

273R00000X A0[7] Hospital-Psychiatric Unit
 

Psychiatric Hospital

283Q00000X A0[7] Hospital-Psychiatric (PPS excluded)
 

Rehabilitation Unit

273Y00000X A0[7] Hospital-Rehabilitation Unit
 

Rehabilitation, Substance Use Disorder Unit

276400000X
Indicates primary specialty

NPI Profile & details for CORECARE BEHAVIORAL HEALTH

NPI # 1851390561
LBN Legal business name CORECARE BEHAVIORAL HEALTH
Authorized official ROSE DIOTTAVIO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/15/2005
Last updated 10/22/2015 - About 11 years ago
Identifiers
PA License # 197910
PA License # 807208
PA Medicaid 1007737600004
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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