Organization Active NPI

Blair Senior Services, Inc.

  • Voluntary or Charitable Agency
  • Altoona, PA
National Provider Identifier
1124196308
Registry record updated Nov 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
BLAIR SENIOR SERVICES, INC.
Practice address
1320 12TH Ave
Altoona, PA 16601-3308
Phone
(814) 946-1235
Fax
(814) 949-4857
NPI assigned
Dec 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Steve T. Williamson
Title
Executive Director
Phone
(814) 946-1235

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

National Provider Directory

National Provider Directory

Locations

1320 12th Ave
Altoona, PA 16601
Phone (814) 946-1235

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1320 12TH Ave
Altoona, PA 16601-3308

Mailing address

1320 12TH Ave
Altoona, PA 16601-3308
Phone (814) 946-1235

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
001713736-0001MedicaidPA
0017137360002MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2010.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289520000000",
    "number": "1124196308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 12TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013308",
            "telephone_number": "814-946-1235",
            "fax_number": "814-949-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 12TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013308",
            "telephone_number": "814-946-1235",
            "fax_number": "814-949-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAIR SENIOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-11-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-946-1235",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001713736-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017137360002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.