Active NPI
Daystar Center for Spiritual Recovery
- Substance Abuse Rehabilitation Facility
- Harrisburg, PA
National Provider Identifier
1205967759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- DAYSTAR CENTER FOR SPIRITUAL RECOVERY
- Practice address
- 125 N. 18TH St.
Harrisburg, PA 17103 - Phone
- (717) 230-9898
- Fax
- (717) 238-1793
- NPI assigned
- Mar 8, 2007
- 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
- Mrs. Fern Roberta Wilcox, LPC, CAADC
- Title
- Executive Director
- Phone
- (717) 230-9898
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 227077 | PA | |
| Substance Abuse Rehabilitation Facility | 324500000X | PA | Primary |
Addresses
Primary practice location
125 N. 18TH St.
Harrisburg, PA 17103
Mailing address
PO Box 60574
Harrisburg, PA 17106
Phone (717) 230-9898
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100035 | Other | PA | CCBH IDENTIFIER |
| 0018539150001 | Medicaid | PA | |
| 227077 | Other | PA | DEPT OF HEALTH FACILITY |
National Provider Directory
National Provider DirectoryLocations
125 N 18th St
Harrisburg, PA 17103
Phone (717) 230-9898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433808000000",
"number": "1205967759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60574",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17106",
"telephone_number": "717-230-9898",
"fax_number": "717-238-1793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 N. 18TH ST.",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17103",
"telephone_number": "717-230-9898",
"fax_number": "717-238-1793"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAYSTAR CENTER FOR SPIRITUAL RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2015-06-09",
"status": "A",
"authorized_official_last_name": "WILCOX",
"authorized_official_first_name": "FERN",
"authorized_official_middle_name": "ROBERTA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "717-230-9898",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC, CAADC"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": "227077",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCBH IDENTIFIER",
"identifier": "100035",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018539150001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF HEALTH FACILITY",
"identifier": "227077",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.