Individual provider Active NPI

Valery Maryellen Square

  • Personal Care Attendant
  • Steelton, PA
National Provider Identifier
1275223117
Registry record updated May 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
96C08A27C81842EFBB39 Issued in PA
Practice address
155 Conestoga St
Steelton, PA 17113-2263
Phone
(223) 667-4238
Fax
(717) 828-4845
NPI assigned
May 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health Information Technician 247000000X LA
Chore Provider 372500000X
Personal Care Attendant 3747P1801X 96C08A27C81842EFBB39 PA Primary

Addresses

Primary practice location

155 Conestoga St
Steelton, PA 17113-2263

Mailing address

155 Conestoga St
Steelton, PA 17113-2263
Phone (223) 667-4238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
96C08A27C81842EFBB39PAMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684022400000",
    "number": "1275223117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CONESTOGA ST",
            "city": "STEELTON",
            "state": "PA",
            "postal_code": "171132263",
            "telephone_number": "223-667-4238",
            "fax_number": "717-828-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CONESTOGA ST",
            "city": "STEELTON",
            "state": "PA",
            "postal_code": "171132263",
            "telephone_number": "223-667-4238",
            "fax_number": "717-828-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUARE",
        "first_name": "VALERY",
        "middle_name": "MARYELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": "LA",
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "PA",
            "license": "96C08A27C81842EFBB39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steelton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.