Active NPI
Messiah Lifeways Community Support Services
- Adult Day Care Clinic/Center
- Mechanicsburg, PA
National Provider Identifier
1043878283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- MESSIAH LIFEWAYS COMMUNITY SUPPORT SERVICES
- Practice address
- 100 Mount Allen Dr
Mechanicsburg, PA 17055-6171 - Phone
- (717) 697-4666
- NPI assigned
- Jun 3, 2019
- Organization subpart
- Yes
- Parent organization
- MESSIAH LIFEWAYS COMMUNITY SUPPORT SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Biesecker
- Title
- Cfo
- Phone
- (717) 591-7228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
100 Mount Allen Dr
Mechanicsburg, PA 17055-6171
Mailing address
100 Mount Allen Dr
Mechanicsburg, PA 17055-6171
Phone (717) 697-4666
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1027311970001 | Other | PA | IDR/MHMR |
| 1027311970006 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Messiah Lifeways Community Support Services
- Part of
- Messiah Lifeways Community Support Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Carlisle, PA
- NPI 1982263877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560384000000",
"number": "1043878283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MOUNT ALLEN DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170556171",
"telephone_number": "717-697-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MOUNT ALLEN DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170556171",
"telephone_number": "717-697-4666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESSIAH LIFEWAYS COMMUNITY SUPPORT SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MESSIAH LIFEWAYS COMMUNITY SUPPORT SERVICES",
"enumeration_date": "2019-06-03",
"last_updated": "2019-06-13",
"status": "A",
"authorized_official_last_name": "BIESECKER",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "717-591-7228"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDR/MHMR",
"identifier": "1027311970001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1027311970006",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.