NPIMap

Organization Active NPI

Firely Pediatric Services Inc.

  • Skilled Nursing Facility
  • Harleysville, PA
National Provider Identifier
1124493515
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
CER-00087127 Issued in PA
Legal business name
FIRELY PEDIATRIC SERVICES INC.
Practice address
364 Maple Ave
Harleysville, PA 19438-2212
Phone
(215) 513-7455
Fax
(215) 513-3031
NPI assigned
Dec 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Christopher Oleksa
Title
Coo
Phone
(215) 513-7455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CER-00087127 PA Primary

Addresses

Primary practice location

364 Maple Ave
Harleysville, PA 19438-2212

Mailing address

428 Centre Ave
Norristown, PA 19403
Phone (215) 513-7455

Other identifiers 1

IdentifierTypeStateIssuer
CER-0087127MedicaidPA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1040862Firely Pediatric Services364 Maple Avenue, Harleysville, PA 19438Certificate of waiverMay 18, 2027

National Provider Directory

National Provider Directory
Tax ID family
Firely Home for Kids11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1124493515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 CENTRE AVE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "19403",
            "telephone_number": "215-513-7455",
            "fax_number": "215-513-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 MAPLE AVE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382212",
            "telephone_number": "215-513-7455",
            "fax_number": "215-513-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRELY PEDIATRIC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "OLEKSA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "215-513-7455"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "CER-00087127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CER-0087127",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.