KENCREST SERVICES (NPI# 1710101803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710101803 |
| Entity Type | Organization |
| Organization Name | KENCREST SERVICES |
| Practice Address |
502 W Germantown Pike Suite 200 Plymouth Meeting PA 19462-1348 |
| Practice Telephone | 6108259360 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM NOLAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6108259360 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548475106 | Kencrest Services | Public Health or Welfare | 5500 Henry Ave, Philadelphia, PA 19128-2701 | 2007-05-14 |
| 1033244454 | Kencrest Services | Intermediate Care Facility, Mentally Retarded | 1 Waterman Ave, Philadelphia, PA 19118-3625 | 2007-02-23 |
| 1669507182 | Kencrest Services | Intermediate Care Facility, Mentally Retarded | 6341 Ridge Ave, Philadelphia, PA 19128-2527 | 2007-02-23 |
| 1144355835 | Kencrest Services | Physical Therapist | 502 W Germantown Pike, Suite 200, Plymouth Meeting, PA 19462-1348 | 2007-02-22 |
| 1407135056 | Kencrest Services | Social Worker | 960a Harvest Dr, Suite 100, Blue Bell, PA 19422-1900 | 2011-08-15 |
| 1205061397 | Kencrest Services | Public Health or Welfare | 960a Harvest Dr, Suite 100, Blue Bell, PA 19422-1900 | 2009-05-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | KENCREST SERVICES, INC. | 502 West Germantown Pike, Suite 200, Plymouth Meeting, PA 19462 |
| Street Address |
502 W GERMANTOWN PIKE SUITE 200 |
| City | PLYMOUTH MEETING |
| State | PA |
| Zip Code | 19462-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144355835 | Kencrest Services | Physical Therapist | 502 W Germantown Pike, Suite 200, Plymouth Meeting, PA 19462-1348 | 2007-02-22 |
| 1235478785 | Virginia Sonnen Hamby | Social Worker | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1309 | 2013-02-04 |
| 1831457183 | Prn Physician Recommended Nutriceuticals, LLC | Non-Pharmacy Dispensing Site | 502 W Germantown Pike, Suite 610, Plymouth Meeting, PA 19462-1309 | 2012-04-24 |
| 1114291861 | Debbie Eileen Lord | Speech-Language Pathologist | 502 W Germantown Pike, Suite 600, Plymouth Meeting, PA 19462-1309 | 2012-02-28 |
| 1942581566 | Robin Appleton | Occupational Therapist | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1309 | 2011-09-09 |
| 1700192846 | Felicia Pilla Bibus | Occupational Therapist | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1309 | 2010-08-26 |
| 1063740223 | Vicki Lynn Meitus | Speech-Language Pathologist | 502 W Germantown Pike, Suite 200, Plymouth Meeting, PA 19462-1348 | 2009-11-30 |
| 1427385178 | Marianne Elise Gellert-jones | Speech-Language Pathologist | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1348 | 2009-11-17 |
| 1750510269 | Lan Nguyen | Case Manager/Care Coordinator | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1309 | 2009-07-06 |
| 1205080322 | Elizabeth F Grippa | Speech-Language Pathologist | 502 W Germantown Pike, Suite 200, Plymouth Meeting, PA 19462-1348 | 2008-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598284192 | Nicole Marie Oconnor Probst | Registered Nurse | 824 Belvoir Road, Plymouth Meeting, PA 19462 | 2017-09-14 |
| 1699299404 | Access Services Inc | Community/Behavioral Health | 4070 Butler Pike Ste 900, Plymouth Meeting, PA 19462 | 2017-08-02 |
| 1255869079 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 615 W Germantown Pike Ste 100, Plymouth Meeting, PA 19462 | 2017-05-24 |
| 1376077545 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2400 Butler Pike, Plymouth Meeting, PA 19462 | 2017-04-14 |
| 1770039604 | David Crowe | Specialist/Technologist | 3045 Arrow Head Lane, Plymouth Meeting, PA 19462 | 2016-08-31 |
| 1881054724 | Urology Health Specialists | Non-Pharmacy Dispensing Site | 400 Davis Road, Suite 200a, Plymouth Meeting, PA 19462 | 2016-03-04 |
| 1578947289 | Amanda Coleen Hassey | Optometrist | 615 W Germantown Pike # 100, Plymouth Meeting, PA 19462 | 2015-07-13 |
| 1902204837 | Janelle Thelma Mcclure | Licensed Practical Nurse | 3113 Jolly Rd., Plymouth Meeting, PA 19462 | 2014-12-09 |
| 1417241860 | Nia Murray | Counselor | 523 Plymouth Rd., Suite215, Plymouthmeeting, PA 19462 | 2011-06-02 |
| 1831496868 | Pamela Faye Knappenberger | Licensed Practical Nurse | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462 | 2011-02-28 |
| Find all providers in zip 19462 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750510269 | Lan Nguyen | Case Manager/Care Coordinator | 502 W Germantown Pike, Plymouth Meeting, PA 19462-1309 | 2009-07-06 |
| 1700067709 | Mary D Stidam | Case Manager/Care Coordinator | 2250 Hickory Rd, Ste 240, Plymouth Meeting, PA 19462-1047 | 2007-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245926 | Alejandro Cora IIi | Case Manager/Care Coordinator | 2310 Redwood Rd, York, PA 17408-3943 | 2020-11-02 |
| 1386250546 | Lindsay Margarida Stiem | Case Manager/Care Coordinator | 3600 Market St Fl 6, Philadelphia, PA 19104-2669 | 2020-09-22 |
| 1962018879 | Magaret Ann Booker | Case Manager/Care Coordinator | 229 Gans Hill School Rd, Smithfield, PA 15478-1327 | 2020-09-17 |
| 1285242297 | Theresa Walter | Case Manager/Care Coordinator | 1061 Livorno Dr, Oakdale, PA 15071-1795 | 2020-07-15 |
| 1023633872 | Raenita Janay Robinson | Case Manager/Care Coordinator | 3600 Market St # 6thf, Philadelphia, PA 19104-3284 | 2020-06-08 |
| 1558990069 | Human Coalition | Case Manager/Care Coordinator | 101 Drake Rd Ste A, Pittsburgh, PA 15241-1556 | 2020-04-06 |
| 1124656467 | Desiree Driver | Case Manager/Care Coordinator | 2417 Welsh Rd Ste 209, Philadelphia, PA 19114-2211 | 2020-03-31 |
| 1225662117 | Wecarefirst Support Coordination LLC | Case Manager/Care Coordinator | 108 Henderson Ave, Norwood, PA 19074-1811 | 2020-02-28 |
| 1902439185 | Jenna M Dannunzio | Case Manager/Care Coordinator | 600 N. Olive Street, Media, PA 19063-2418 | 2020-02-17 |
| 1154961571 | Corina Jones | Case Manager/Care Coordinator | 2001 Alsace Rd, Reading, PA 19604-1442 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
| City | PLYMOUTH MEETING |
| Zip Code | 19462 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.