Provider Demographics
NPI:1427171586
Name:WARWICK HOUSE INC
Entity type:Organization
Organization Name:WARWICK HOUSE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:BROWNELL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:267-525-7000
Mailing Address - Street 1:800 CLARMONT AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-5705
Mailing Address - Country:US
Mailing Address - Phone:267-525-7000
Mailing Address - Fax:
Practice Address - Street 1:1460 MEETINGHOUSE ROAD
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18974-1070
Practice Address - Country:US
Practice Address - Phone:215-491-7404
Practice Address - Fax:215-491-7405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA102940322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1018346720001Medicaid