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KIRKBRIDE CENTER
NPI 1558520841
Substance Abuse Rehabilitation Facility in Philadelphia, PA

Active since June 03, 2008CLIA 39D1004492 · Waiver
111 N 49TH ST, PHILADELPHIA, PA 19139(215) 471-2687(215) 471-2845 Get Directions Write a Review

NPPES record last updated: January 13, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 13, 2020, Jan 9, 2020 (2 updates tracked since 2020).

About Kirkbride Center NPPES

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

KIRKBRIDE CENTER (NPI 1558520841) is a healthcare organization registered as a substance abuse rehabilitation facility in Philadelphia, Pennsylvania and active in the NPI registry since June 2008. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Rose Diottavio, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1558520841
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCORECARE BEHAVIORAL HEALTH MANAGEMENT, INC.
Location Address111 N 49TH STPhiladelphia, PA 19139-2718
Mailing Address111 N 49th StPhiladelphia, PA 19139-2718 · (215) 471-2687 · Fax (215) 471-2845
Phone(215) 471-2687
Fax(215) 471-2845
Organization SubpartNo
Authorized OfficialRose DiottavioPresident/ceo · (215) 471-2358
Enumeration DateJune 3, 2008
Last NPPES UpdateJanuary 13, 20202 updates tracked since enumeration
✔ NPI 1558520841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedSubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenTaxonomy 3245S0500X
111 N 49TH ST, Philadelphia, PA 19139
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Other Names 1

Doing Business AsKirkbride Center

Other Identifiers 1

Medicaid1007737600002PA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1004492

Kirkbride Center · Philadelphia, PA
Active · expires Sep 29, 2026
CLIA Number39D1004492
Laboratory TypeHospital
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorDr. Frederic J. Weber
Laboratory Phone(215) 471-2600
Laboratory LocationKirkbride Center111 North 49th Street, Philadelphia, PA 19139
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTMEADE CENTER
Residential Treatment Facility, Emotionally Disturbed Children
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2687
PHILADELPHIA HEALTH MANAGEMENT CORP
Clinic/Center (Adult Mental Health)
111 N 49TH ST, 2ND FLOOR
PHILADELPHIA, PA 19139
Philadelphia County (215) 662-8881
CHALA SARGENT MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
111 N 49TH ST, FHC FIRST FLOOR
PHILADELPHIA, PA 19139
Philadelphia County (215) 472-7291
MR. SCOTT WEISENBERGER LPC
Counselor (Professional)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2314
DR. KAMBEZE BANAN ETEMAD M.D.
Psychiatry & Neurology (Psychiatry)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2140
FRED BAURER M.D.
Psychiatry & Neurology (Addiction Psychiatry)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2807
FIRST HOME CARE CORPORATION
Counselor (Professional)
111 N 49TH ST, 1ST FLOOR
PHILADELPHIA, PA 19139
Philadelphia County (215) 472-7291
STEPHEN KARAFELLI
Social Worker (Clinical)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2132

Frequently Asked Questions

What is CORECARE BEHAVIORAL HEALTH MANAGEMENT, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1558520841, enumerated as an "organization" on June 03, 2008.

Where is the provider located?

The provider is located at 111 N 49TH ST PHILADELPHIA, PA 19139 and the phone number is (215) 471-2687.

What is the provider's specialty?

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

What insurance does CORECARE BEHAVIORAL HEALTH MANAGEMENT, INC. accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.