Healthcare Provider Details

I. General information

NPI: 1235209081
Provider Name (Legal Business Name): CHILDREN'S HOSPITAL OF PHILADELPHIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 HORIZON DR
KING OF PRUSSIA PA
19406-2626
US

IV. Provider business mailing address

3000 HORIZON DR
KING OF PRUSSIA PA
19406-2626
US

V. Phone/Fax

Practice location:
  • Phone: 800-866-1242
  • Fax: 610-992-1040
Mailing address:
  • Phone: 800-866-1242
  • Fax: 610-992-1040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number748105
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: FABIAN STONE
Title or Position: VP REVENUE CYCLE
Credential:
Phone: 267-425-5765