NPIMap

Organization Active NPI

Community Shelter Services, Inc.

  • Public Health or Welfare Agency
  • Erie, PA
National Provider Identifier
1083959415
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
017427 Issued in PA
Legal business name
COMMUNITY SHELTER SERVICES, INC.
Practice address
655 W 16TH St
Erie, PA 16502-1606
Phone
(814) 455-4369
Fax
(814) 456-4215
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Mr. John Patrick Herr, MSW
Title
Assistant Director
Phone
(814) 453-4613

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 017427 PA Primary

Addresses

Primary practice location

655 W 16TH St
Erie, PA 16502-1606

Mailing address

655 W 16TH St
Erie, PA 16502-1606
Phone (814) 455-4369

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1083959415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 W 16TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021606",
            "telephone_number": "814-455-4369",
            "fax_number": "814-456-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 W 16TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021606",
            "telephone_number": "814-455-4369",
            "fax_number": "814-456-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SHELTER SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "814-453-4613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "017427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.