NPIMap

Organization Active NPI

Carelink Community Support Services of Pennsylvania Inc

  • Community/Behavioral Health Agency
  • Media, PA
National Provider Identifier
1295100758
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CARELINK COMMUNITY SUPPORT SERVICES OF PENNSYLVANIA INC
Practice address
106 Chesley Dr
Media, PA 19063-1759
Phone
(610) 874-1119
Fax
(610) 565-3801
NPI assigned
Dec 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
James Philip Kyle
Title
Controller
Phone
(610) 874-1119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

106 Chesley Dr
Media, PA 19063-1759

Mailing address

106 Chesley Dr
Media, PA 19063-1759
Phone (610) 874-1119

Other identifiers 1

IdentifierTypeStateIssuer
150210OtherPAPEER SUPPORT

National Provider Directory

National Provider Directory
Tax ID family
Carelink Community Support Services39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Locations

106 Chesley Dr
Media, PA 19063
Phone (610) 874-1119

1489 Baltimore Pike
Ste 216
Springfield, PA 19064
Phone (484) 981-7909

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1295100758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631759",
            "telephone_number": "610-874-1119",
            "fax_number": "610-565-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CHESLEY DR",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631759",
            "telephone_number": "610-874-1119",
            "fax_number": "610-565-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARELINK COMMUNITY SUPPORT SERVICES OF PENNSYLVANIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-09",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KYLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "610-874-1119"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEER SUPPORT",
            "identifier": "150210",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.