Active NPI
Personal Habilitation Services LLC
- Community/Behavioral Health Agency
- Du Bois, PA
National Provider Identifier
1265760557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PERSONAL HABILITATION SERVICES LLC
- Practice address
- 150 W Dubois Ave
Ste G
Du Bois, PA 15801-3000 - Phone
- (814) 375-7091
- NPI assigned
- Nov 24, 2009
- 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
- Sean Garred, M.ED, LPC, CRC
- Title
- Senior Member
- Phone
- (814) 375-7090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
150 W Dubois Ave
Ste G
Du Bois, PA 15801-3000
Mailing address
150 W Dubois Ave
Ste G
Du Bois, PA 15801-3000
Phone (814) 375-7091
National Provider Directory
National Provider DirectoryLocations
150 W Dubois Ave
Ste G
Du Bois, PA 15801
Phone (814) 375-7091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259020800000",
"number": "1265760557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 W DUBOIS AVE",
"address_2": "STE G",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158013000",
"telephone_number": "814-375-7091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 W DUBOIS AVE",
"address_2": "STE G",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158013000",
"telephone_number": "814-375-7091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL HABILITATION SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-24",
"last_updated": "2009-11-24",
"status": "A",
"authorized_official_last_name": "GARRED",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "SENIOR MEMBER",
"authorized_official_telephone_number": "814-375-7090",
"authorized_official_credential": "M.ED, LPC, CRC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
- Jacob Penvose, LPC
- Peritech Home Health Associates LLC (Angels of Care of PA)
- Peritech Home Health Associates, LLC (Angels of Care of PA)
- Amber Nicole Perry, DO
- Ross William Perry, LCSW
- Aaron Michael Peters, D.C.
- Jennifer M Peters, D.C.
- John C. Petersen, CRNA
- James M Peterson, M.S.
- Thomas Carmen Petraitis, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.