NPIMap

Organization Active NPI

Kidspeace National Centers Inc

  • Nursing Care Agency
  • Honesdale, PA
National Provider Identifier
1093850414
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
239140 Issued in PA
Legal business name
KIDSPEACE NATIONAL CENTERS INC
Practice address
100 Fourth Street,
1St Floor
Honesdale, PA 18431-1869
Phone
(800) 854-3123
Fax
(610) 799-8318
NPI assigned
Feb 21, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Michael Callan
Title
Cfo
Phone
(610) 799-7517

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 239140 PA Primary
Foster Care Agency 253J00000X 239130 PA
Foster Care Agency 253J00000X 239140 PA
Foster Care Agency 253J00000X 206140 PA
Community/Behavioral Health Agency 251S00000X 201990 PA

Addresses

Primary practice location

100 Fourth Street,
1St Floor
Honesdale, PA 18431-1869

Mailing address

4085 Independence Dr
Schnecksville, PA 18078
Phone (800) 854-3123

Other identifiers 1

IdentifierTypeStateIssuer
100763290-0106MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Kidspeace National Centers Inc47 organizations share this tax ID, including this one

Other organizations with this tax ID 46

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

View all 46

Locations

100 4th St
Ste 1
Honesdale, PA 18431
Phone (570) 251-0054

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093850414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 INDEPENDENCE DR",
            "city": "SCHNECKSVILLE",
            "state": "PA",
            "postal_code": "18078",
            "telephone_number": "800-854-3123",
            "fax_number": "610-799-8318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FOURTH STREET,",
            "address_2": "1ST FLOOR",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311869",
            "telephone_number": "800-854-3123",
            "fax_number": "610-799-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSPEACE NATIONAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CALLAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "610-799-7517"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "PA",
            "license": "239140",
            "primary": true
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "PA",
            "license": "239130",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "PA",
            "license": "239140",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "PA",
            "license": "206140",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "201990",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763290-0106",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honesdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.