Active NPI
Carelink Community Support Services of Pennsylvania Inc
- Community/Behavioral Health Agency
- Norristown, PA
National Provider Identifier
1114449873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 195020
- Legal business name
- CARELINK COMMUNITY SUPPORT SERVICES OF PENNSYLVANIA INC
- Practice address
- 1201 Stanbridge St BLDG 13
Norristown, PA 19401-5313 - Phone
- (610) 270-9120
- Fax
- (610) 270-9148
- NPI assigned
- Jul 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Woomer
- Title
- Ceo
- Phone
- (610) 874-1119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 195020 | PA | Primary |
Addresses
Primary practice location
1201 Stanbridge St BLDG 13
Norristown, PA 19401-5313
Mailing address
106 Chesley Dr
Media, PA 19063-1759
Phone (610) 874-1119
National Provider Directory
National Provider Directory- Tax ID family
- Carelink Community Support Services
Other organizations with this tax ID 38
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- Community/Behavioral Health Agency
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- Community/Behavioral Health Agency
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667347200000",
"number": "1114449873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CHESLEY DR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190631759",
"telephone_number": "610-874-1119",
"fax_number": "610-565-3802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 STANBRIDGE ST BLDG 13",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194015313",
"telephone_number": "610-270-9120",
"fax_number": "610-270-9148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARELINK COMMUNITY SUPPORT SERVICES OF PENNSYLVANIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-13",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A",
"authorized_official_last_name": "WOOMER",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "610-874-1119"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "PA",
"license": "195020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norristown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.