Organization Active NPI

Tioga County Homeless Initiative

  • Community Health Worker
  • Mansfield, PA
National Provider Identifier
1053239574
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
TIOGA COUNTY HOMELESS INITIATIVE
Practice address
2580 Charleston Rd
Mansfield, PA 16933-8806
Phone
(570) 724-9001
Fax
(570) 948-2112
NPI assigned
Jul 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Authorized official

Name
Abigail Jean Thorborg
Title
Executive Director
Phone
(570) 724-9001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

2580 Charleston Rd
Mansfield, PA 16933-8806

Mailing address

2580 Charleston Rd
Mansfield, PA 16933-8806
Phone (570) 724-9001

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1053239574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 CHARLESTON RD",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169338806",
            "telephone_number": "570-724-9001",
            "fax_number": "570-948-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 CHARLESTON RD",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169338806",
            "telephone_number": "570-724-9001",
            "fax_number": "570-948-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA COUNTY HOMELESS INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "THORBORG",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-724-9001"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.