Organization Active NPI

Third Street Alliance

  • Adult Care Home Facility
  • Easton, PA
National Provider Identifier
1043412869
Registry record updated Dec 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
THIRD STREET ALLIANCE
Practice address
41 N 3Rd St
Easton, PA 18042-3642
Phone
(610) 258-6271
Fax
(610) 258-2112
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mahpareh Fakhraie
Title
Program Director
Phone
(610) 258-6271

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

41 N 3Rd St
Easton, PA 18042-3642

Mailing address

41 N 3Rd St
Easton, PA 18042-3642
Phone (610) 258-6271

Other identifiers 1

IdentifierTypeStateIssuer
8698805MedicaidNJ

Other names 1

  • Sharing the Caring Adult Day Services center Doing business as

National Provider Directory

National Provider Directory

Locations

41 N 3rd St
Easton, PA 18042
Phone (610) 258-6271

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1043412869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 N 3RD ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423642",
            "telephone_number": "610-258-6271",
            "fax_number": "610-258-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 N 3RD ST",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180423642",
            "telephone_number": "610-258-6271",
            "fax_number": "610-258-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD STREET ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "FAKHRAIE",
        "authorized_official_first_name": "MAHPAREH",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "610-258-6271"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8698805",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sharing the Caring Adult Day Services center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.