Chester County Respite Network, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHESTER COUNTY RESPITE NETWORK, LLC

Practice address

495 Highland Blvd Ste 104
Coatesville, PA 19320-5822

Phone

(484) 979-2222

Fax

(484) 879-2223

NPI assigned

Mar 28, 2022

Organization subpart

Yes

Parent organization

THE ROCK CREEK FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Andre Haley, PHD LBS LCDP LMSW

Title

Chief of Operations and Clinical

Phone

(484) 879-2222

Specialties & licenses 1

Addresses

Part of

Chester County Respite Network LLC

Locations

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1295485696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 HIGHLAND BLVD STE 104",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205822",
            "telephone_number": "484-979-2222",
            "fax_number": "484-879-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 HIGHLAND BLVD STE 104",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193205822",
            "telephone_number": "484-979-2222",
            "fax_number": "484-879-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER COUNTY RESPITE NETWORK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ROCK CREEK FOUNDATION",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS AND CLINICAL",
        "authorized_official_telephone_number": "484-879-2222",
        "authorized_official_credential": "PHD LBS LCDP LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.