NPIMap

Organization Active NPI

Firely Pediatric Services Inc.

  • Assisted Living Facility
  • Pottstown, PA
National Provider Identifier
1194179838
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0084969 Issued in PA
Legal business name
FIRELY PEDIATRIC SERVICES INC.
Practice address
930 Oak Dr
Pottstown, PA 19464-7102
Phone
(215) 513-7455
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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
Assisted Living Facility 310400000X 0084969 PA Primary

Addresses

Primary practice location

930 Oak Dr
Pottstown, PA 19464-7102

Mailing address

364 Maple Ave
Harleysville, PA 19438-2212

Other identifiers 1

IdentifierTypeStateIssuer
00084969MedicaidPA

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": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1194179838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 MAPLE AVE",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 OAK DR",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194647102",
            "telephone_number": "215-513-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRELY PEDIATRIC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "0084969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00084969",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.