Precious Moments Personal Care Home, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

419510 Issued in PA

Legal business name

PRECIOUS MOMENTS PERSONAL CARE HOME, INC.

Doing business as

McDaniels Personal Care Home

Practice address

245 Center Street
Clarksville, PA 15322

Phone

(724) 377-0662

NPI assigned

Aug 19, 2008

Last updated

Aug 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Howes

Title

Admisitrator

Phone

(724) 377-0662

Specialties & licenses 1

Addresses

Other names 1

• McDaniels Personal Care Home Doing business as

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1295982585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CENTER STREET",
            "address_2": "P.O. BOX 13",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "15322",
            "telephone_number": "724-377-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CENTER STREET",
            "city": "CLARKSVILLE",
            "state": "PA",
            "postal_code": "15322",
            "telephone_number": "724-377-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS MOMENTS PERSONAL CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "HOWES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMISITRATOR",
        "authorized_official_telephone_number": "724-377-0662",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "PA",
            "license": "419510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDaniels Personal Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clarksville & Community Volunteer Fire Department
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• Tracy Pekar, RN
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• Kristin Smith, D.O.

• Custodial Care Facility in Clarksville, PA
• Providers in Clarksville, PA by specialty
• Custodial Care Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.