KENCCID
NPI 1356940183
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Philadelphia, PA

Q: What is Kenccid's NPI number?

The NPI number for Kenccid is 1356940183. It was assigned to this organization in the NPPES registry on October 22, 2020.

Q: What is Kenccid's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Q: When was this NPI record last updated?

The NPPES record for Kenccid was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since October 22, 2020

9350 ASHTON RD RM 202, PHILADELPHIA, PA 19114(215) 288-9797 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenccid NPPES

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

KENCCID (NPI 1356940183) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Philadelphia, Pennsylvania and active in the NPI registry since October 2020. The organization lists Michael Anthony Deangelo, It Systems Director, as its authorized official.

NPPES Registry Identity

NPI1356940183

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameKENCCID

Location Address9350 ASHTON RD RM 202Philadelphia, PA 19114-7402

Mailing Address9350 Ashton Rd Rm 202Philadelphia, PA 19114-7402 · (215) 288-9797

Phone(215) 288-9797

Organization SubpartNo

Authorized OfficialMichael Anthony DeangeloIt Systems Director · (215) 288-9797

Enumeration DateOctober 22, 2020

NPPES CertifiedOctober 21, 2020

✔ NPI 1356940183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

9350 ASHTON RD RM 202, Philadelphia, PA 19114

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Other Names 1

Doing Business AsKenccid

Other Identifiers 1

Medicaid100001000PA

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 Kenccid's NPI number?

The NPI number for Kenccid is 1356940183. It was assigned to this organization in the NPPES registry on October 22, 2020.

Where is Kenccid located?

Kenccid is located at 9350 Ashton Rd Rm 202, Philadelphia, PA 19114. The listed phone number is (215) 288-9797.

What is Kenccid's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Kenccid was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.