Achieve, LLC
Organization Active NPI Early Intervention Provider Agency · York, PA
NPI 1295093565 · NPPES record last updated Apr 24, 2012
Key facts
- NPI
- 1295093565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- License
- SW127871 (PA)
- Legal business name
- ACHIEVE, LLC
- Practice address
- 80 Nursery LN
York, PA 17404-7910 - Phone
- (717) 676-0319
- NPI assigned
- Apr 24, 2012
- Organization subpart
- No
Authorized official
- Name
- Ms. Jennifer Elaine Knott, LSW
- Title
- Sole Member
- Phone
- (717) 676-0319
Practitioners 1
-
Jennifer E Knott, LSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | SW127871 | PA | Yes |
Addresses
Primary practice location
80 Nursery LN
York, PA 17404-7910
Mailing address
80 Nursery LN
York, PA 17404-7910
Phone (717) 676-0319
NPI Registry JSON
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1335225600000",
"number": "1295093565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 NURSERY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174047910",
"telephone_number": "717-676-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 NURSERY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174047910",
"telephone_number": "717-676-0319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHIEVE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-24",
"last_updated": "2012-04-24",
"status": "A",
"authorized_official_last_name": "KNOTT",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "717-676-0319",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LSW"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "PA",
"license": "SW127871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.