HOUSE OF PHILADELPHIA, INC. NPI 1740333236

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Irvington, AL

NPI 1740333236 Organization Community Based Residential Treatment Fa...

About HOUSE OF PHILADELPHIA, INC.

House Of Philadelphia, Inc. is a provider established in Irvington, Alabama specializing in community based residential treatment facility, intellectual and/or developmental disabilities. The NPI number of House Of Philadelphia, Inc. is 1740333236 and was assigned on January 2007. The practitioner's primary taxonomy code is 320900000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Mamie Hayden Mackey (Executive Director)

NPI

1740333236

Provider NameHOUSE OF PHILADELPHIA, INC.
Provider Location Address8571 THREE MILE RD IRVINGTON, AL 36544
Provider Mailing Address8571 THREE MILE RD IRVINGTON, AL 36544
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-19-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code320900000X
ClassificationCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
TypeResidential Treatment Facilities
Taxonomy DescriptionA home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Business Address

HOUSE OF PHILADELPHIA, INC.
8571 THREE MILE RD
IRVINGTON, AL
ZIP 36544
Phone: (251) 824-4689
Fax: (251) 824-1675

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Mailing Address

HOUSE OF PHILADELPHIA, INC.
8571 THREE MILE RD
IRVINGTON, AL
ZIP 36544
Phone: (251) 824-4689
Fax: (251) 824-1675



Authorized Official

Authorized Official NameMRS. MAMIE HAYDEN MACKEY
Authorized Official TitleEXECUTIVE DIRECTOR
Authorized Official Phone(251) 824-4689

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558683409SOUTH ALABAMA LEISURE REHABILITATION RECREATION CENTER INC
Organization
Day Training, Developmentally Disabled Services8571 THREE MILE RD LOT 4
IRVINGTON, AL 36544
(251) 824-1441

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.