DEVEREUX KANNER – NPI #1306960091
Residential Treatment Facility, Emotionally Disturbed Children
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
DEVEREUX KANNER is a residential treatment facility located in WEST CHESTER, PA. NPPES has assigned the NPI number 1306960091 to DEVEREUX KANNER on March 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. DEVEREUX KANNER is also known by the name KANNER JACKSON VILLA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.
The NPI profile was previously updated about 16 years ago on Aug 31, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEVEREUX KANNER below.
NPI Profile for
DEVEREUX KANNER
(more than 19 years ago)
101 GENUARDI CIRCLE
WEST CHESTER, PA 19380-1222 Phone: (610) 431-8100 Fax: (610) 431-3155
KING OF PRUSSIA, PA 19406-2786 Phone: (610) 542-3084 Fax: (610) 542-3191
NATIONAL DIRECTOR, AR
Phone: (610) 542-3084
Identifiers for DEVEREUX KANNER
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | NJ | 0010537 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 322D00000X - Residential Treatment Facility, Emotionally Disturbed Children (Primary) |
PA | 132880 |
| 320800000X - Community Based Residential Treatment Facility, Mental Illness |
PA | 112050 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.