PROJECT HOME NPI 1609122506

NPI Information

NPI: 1609122506
Provider Name: PROJECT HOME
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Other Name: STEPHEN KLEIN WELLNESS CENTER
CLIA Number: 39D2081055
Address: 2144 CECIL B MOORE AVE
PHILADELPHIA, PA
ZIP 19121
Phone: (215) 320-6187

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NPI Details

PROJECT HOME is a federally qualified health center (fqhc) clinic center in Philadelphia, PA. PROJECT HOME NPI is 1609122506. The provider is registered as an organization entity type.
The provider Other Name Is Stephen Klein Wellness Center.

The provider's business location address is:

2144 CECIL B MOORE AVE
PHILADELPHIA, PA
ZIP 19121-014
Phone: (215) 320-6187
Fax: (215) 235-4441

The provider's authorized official is Anita Richardson .
The authorized official title is Billing Supervisor and has the following contact phone number (215) 320-6192.

The CLIA number assigned to this NPI record is 39D2081055 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2012 and was last updated on 5/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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