1740303437 NPI number — CENTRALIZED COMPREHENSIVE HUMAN SERVICES, INC.

Table of content: (NPI 1740303437)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740303437 NPI number — CENTRALIZED COMPREHENSIVE HUMAN SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRALIZED COMPREHENSIVE HUMAN SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740303437
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
112 N BROAD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19102-1510
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-568-0860
Provider Business Mailing Address Fax Number:
215-568-0769

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2742 N 5TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19133-2701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-568-0860
Provider Business Practice Location Address Fax Number:
215-568-0769
Provider Enumeration Date:
04/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
YOUNG
Authorized Official First Name:
ALICE
Authorized Official Middle Name:
G
Authorized Official Title or Position:
VP FINANCE
Authorized Official Telephone Number:
215-568-0860

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X , with the licence number:  121990 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com