KANNER TRANSITIONAL LIVING
NPI 1629193578
Community Based Residential Treatment Facility, Mental Illness in West Chester, PA

Active since March 20, 2007
791 KING RD # A, WEST CHESTER, PA 19380(610) 431-8100(610) 431-3155 Get Directions Write a Review

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

About Kanner Transitional Living NPPES

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

KANNER TRANSITIONAL LIVING (NPI 1629193578) is a healthcare organization registered as a community based residential treatment facility, mental illness in West Chester, Pennsylvania and active in the NPI registry since March 2007. The organization lists Fran Wagner, National Director, Accts Receivable, as its authorized official.

NPPES Registry Identity

NPI1629193578
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameDEVEREUX KANNER
Location Address791 KING RD # AWest Chester, PA 19380-1418
Mailing Address2012 Renaissance BlvdKing Of Prussia, PA 19406-2786 · (610) 542-3084 · Fax (610) 542-3191
Fax(610) 431-3155
Organization SubpartNo
Authorized OfficialFran WagnerNational Director, Accts Receivable · (610) 542-3084
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1629193578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in PA · 112230
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
791 KING RD # A, West Chester, PA 19380

Other Names 1

Other NameKanner Transitional Living

Other Identifiers 1

Medicaid0010511NJ

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 Devereux Kanner's NPI number?

The NPI number for Devereux Kanner is 1629193578. It was assigned to this organization in the NPPES registry on March 20, 2007. The provider is also known as Kanner Transitional Living.

Where is Devereux Kanner located?

Devereux Kanner is located at 791 King Rd # A, West Chester, PA 19380. The listed phone number is (610) 431-8100.

What is Devereux Kanner's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Devereux Kanner was last updated on August 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.