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BANYAN PHILADELPHIA, LLC
NPI 1780101691
Substance Abuse Rehabilitation Facility in Langhorne, PA

Active since August 23, 2017CLIA 39D2148917 · Waiver
100 N BUCKSTOWN RD STE 100, LANGHORNE, PA 19047(215) 249-6226(267) 512-6053 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 12, 2025, May 13, 2025, Dec 9, 2022 and 3 more (6 updates tracked since 2017).

About Banyan Philadelphia, Llc NPPES

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

BANYAN PHILADELPHIA, LLC (NPI 1780101691), doing business as Banyan Philadelphia, is a healthcare organization registered as a substance abuse rehabilitation facility in Langhorne, Pennsylvania and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists John Sory, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780101691
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameBANYAN PHILADELPHIA, LLC
Location Address100 N BUCKSTOWN RD STE 100Langhorne, PA 19047-1875
Mailing Address225 N Federal HwyPompano Beach, FL 33062-4319 · (954) 533-7705 · Fax (954) 781-7173
Phone(215) 249-6226
Fax(267) 512-6053
Organization SubpartNo
Authorized OfficialJohn SoryCeo · (954) 533-7705
Enumeration DateAugust 23, 2017
Last NPPES UpdateAugust 12, 20256 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1780101691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
100 N BUCKSTOWN RD STE 100, Langhorne, PA 19047
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Other Names 1

Doing Business AsBanyan Philadelphia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 39D2148917

Banyan Philadelphia LLC · Langhorne, PA
Active · expires May 21, 2028
CLIA Number39D2148917
Laboratory TypeSubstance Trtmt
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorDr. Darrin R. Mangiacarne
Laboratory Phone(954) 533-7705
Laboratory LocationBanyan Philadelphia LLC100 N Buckstown Dr E-100, Langhorne, PA 19047
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Banyan Philadelphia, LLC's NPI number?

The NPI number for Banyan Philadelphia, LLC is 1780101691. It was assigned to this organization in the NPPES registry on August 23, 2017. The provider is doing business as Banyan Philadelphia.

Where is Banyan Philadelphia, LLC located?

Banyan Philadelphia, LLC is located at 100 N Buckstown Rd Ste 100, Langhorne, PA 19047. The listed phone number is (215) 249-6226.

What is Banyan Philadelphia, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Banyan Philadelphia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2148917) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Banyan Philadelphia, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Banyan Philadelphia, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Banyan Philadelphia, LLC was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.