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EMBOLDEN COMMUNITY ALLIES
NPI 1104463736
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Philadelphia, PA

Active since December 02, 2019
4000 GYPSY LN UNIT 204, PHILADELPHIA, PA 19129(267) 810-4866 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Embolden Community Allies NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMBOLDEN COMMUNITY ALLIES (NPI 1104463736) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Philadelphia, Pennsylvania and active in the NPI registry since December 2019. The organization lists Cindi Muchoki, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104463736
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameEMBOLDEN COMMUNITY ALLIES
Location Address4000 GYPSY LN UNIT 204Philadelphia, PA 19129-5405
Mailing Address4000 Gypsy Ln Unit 204Philadelphia, PA 19129-5405 · (267) 810-4866
Phone(267) 810-4866
Organization SubpartNo
Authorized OfficialCindi MuchokiCeo · (267) 810-4866
Enumeration DateDecember 2, 2019
✔ NPI 1104463736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
4000 GYPSY LN UNIT 204, Philadelphia, PA 19129
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Other Identifiers 1

Medicaid103643212PA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Embolden Community Allies's NPI number?

The NPI number for Embolden Community Allies is 1104463736. It was assigned to this organization in the NPPES registry on December 2, 2019.

Where is Embolden Community Allies located?

Embolden Community Allies is located at 4000 Gypsy Ln Unit 204, Philadelphia, PA 19129. The listed phone number is (267) 810-4866.

What is Embolden Community Allies's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Embolden Community Allies was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.