OrganizationActive
Devereux Kanner
NPI 1164546644 · Mental Illness Community Based Residential Treatment Facility · West Chester, PA
Provider details
- NPI number
- 1164546644
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Fran Wagner, National Director, Ar(610) 542-3084
- License
- 112070 (PA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
390 E Boot Rd
West Chester, PA 19380-1222
Phone: (610) 431-8100
Fax: (610) 431-3155
Street-level locationGet directions
Mailing address
2012 Renaissance Blvd
King of Prussia, PA 19406-2786
Other names (DBA / former)
- Other name
- Kanner Laura Villa
Registry dates
- Enumerated
- 2007-03-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.