15 Wesner Lane Pecc Operating Company, LP

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

15 WESNER LANE PECC OPERATING COMPANY, LP

Doing business as

Pediatric Specialty Care Medical Day at Danville

Practice address

15 Wesner LN Ste 101
Danville, PA 17821-8023

Phone

(570) 284-4387

NPI assigned

Jul 10, 2020

Last updated

Jul 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Kenworthy

Title

Director of Accounts Receivable

Phone

(716) 817-5085

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Specialty Care Medical Day at Danville Doing business as

Locations

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1225656739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SENECA ST STE 100",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142041963",
            "telephone_number": "716-817-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WESNER LN STE 101",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178218023",
            "telephone_number": "570-284-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "15 WESNER LANE PECC OPERATING COMPANY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "716-817-5085"
    },
    "taxonomies": [
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Specialty Care Medical Day at Danville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1St. Choice Medical
• Paige Aaron
• Aarush Manchanda
• Houssam Abdul-Al, M.D.
• Zainab Abdulhusein

• Medically Fragile Infants and Children Day Care in Danville, PA
• Providers in Danville, PA by specialty
• Medically Fragile Infants and Children Day Care in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.