NPIMap

Organization Active NPI

Bedford-Somerset Developmental and Behavioral Health Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bedford, PA
National Provider Identifier
1124228812
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
3226060 Issued in PA
Legal business name
BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES
Practice address
177 Alleghany Ave
Bedford, PA 15522-1034
Phone
(814) 623-4877
NPI assigned
Jul 20, 2007
Last updated
Apr 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Ms. Jennifer Elaine Smith
Title
Administrative Assistant
Phone
(814) 443-4891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 3226060 PA Primary

Addresses

Primary practice location

177 Alleghany Ave
Bedford, PA 15522-1034

Mailing address

245 W Race St
Somerset, PA 15501-1922
Phone (814) 443-4891

National Provider Directory

National Provider Directory
Tax ID family
Bedford-Somerset Developmental and Behavioral Health Services23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1124228812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W RACE ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155011922",
            "telephone_number": "814-443-4891",
            "fax_number": "814-443-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 ALLEGHANY AVE",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155221034",
            "telephone_number": "814-623-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD-SOMERSET DEVELOPMENTAL AND BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "814-443-4891",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "PA",
            "license": "3226060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.