NPIMap

Organization Active NPI

Allied Healthcare Services

  • Intellectual Disabilities Intermediate Care Facility
  • Carbondale, PA
National Provider Identifier
1073590030
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
ALLIED HEALTHCARE SERVICES
Practice address
41 1/2 Pear St
Carbondale, PA 18407-1838
Phone
(570) 341-4317
NPI assigned
Dec 29, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Pugh
Title
Vice President
Phone
(570) 826-3836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

41 1/2 Pear St
Carbondale, PA 18407-1838

Mailing address

100 Abington Executive Park
Clarks Summit, PA 18411-2258
Phone (570) 348-2911

Other identifiers 1

IdentifierTypeStateIssuer
1000002910020MedicaidPA

Other names 1

  • CM 3 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073590030. Details of each certification follow.

  • CCN 39G205 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 39G205

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ALLIED HEALTH CARE SERVICES - PEAR
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Aug 4, 1989
Last certification
Apr 10, 2025
Beds
7
Ownership / control type
Private (non-profit)
Facility address
41 1/2 Pear Street
Carbondale, PA 18407

National Provider Directory

National Provider Directory
Tax ID family
Physical Medicine Allie22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

Locations

41 Pear St
Carbondale, PA 18407
Phone (570) 341-4317

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073590030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ABINGTON EXECUTIVE PARK",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112258",
            "telephone_number": "570-348-2911",
            "fax_number": "570-341-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 1/2 PEAR ST",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071838",
            "telephone_number": "570-341-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-826-3836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000002910020",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CM 3",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carbondale, PA

Sources for this page

Verify at the official NPI Registry.