Organization Active NPI

PA Premier Service Coordination LLC

  • Case Manager/Care Coordinator
  • Harrisburg, PA
National Provider Identifier
1083575617
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
PA PREMIER SERVICE COORDINATION LLC
Practice address
515 Main St
Harrisburg, PA 17113-2712
Phone
(347) 589-5671
NPI assigned
Nov 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Leidy Dahlia Pichardo, BA
Title
Ceo
Phone
(347) 589-5671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

515 Main St
Harrisburg, PA 17113-2712

Mailing address

515 Main St
Harrisburg, PA 17113-2712

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1083575617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171132712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171132712",
            "telephone_number": "347-589-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA PREMIER SERVICE COORDINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "PICHARDO",
        "authorized_official_first_name": "LEIDY",
        "authorized_official_middle_name": "DAHLIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-589-5671",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.