1922124114 NPI number — BEST NEST, INC.

Table of content: (NPI 1922124114)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922124114 NPI number — BEST NEST, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEST NEST, 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:
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:
1922124114
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1709 WASHINGTON AVE
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:
19146-1913
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-546-8060
Provider Business Mailing Address Fax Number:
215-546-8906

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1709 WASHINGTON AVE
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:
19146-1913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-546-8060
Provider Business Practice Location Address Fax Number:
215-546-8906
Provider Enumeration Date:
03/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DESMOND
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
215-546-8060

Provider Taxonomy Codes

  • Taxonomy code: 251J00000X , with the licence number:  173750 , 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)

  • Identifier: 177070 . This is a "PRIVATE CHILDREN & YOUTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 173750 . This is a "FOSTER FAMILY CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 186360 . This is a "ADOPTION SERVICES" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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